Diabetes Mellitus
Conditions
Keywords
diabetic foot osteomyelitis, antibiotic treatment duration
Brief summary
The purpose of the study is to compare the efficacy and tolerance of 6- versus 12-week antibiotic therapy in patients with diabetic foot osteomyelitis treated medically.
Detailed description
The aim of this randomized multicenter clinical study is to compare the efficacy and tolerance of 6 versus 12-week antibiotic treatment in patients with diabetic foot osteomyelitis treated medically as no equivalent data are currenty available in the literature.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* diabetic patients treated non-surgically (i.e. without amputation or resection of the infected bone) for an osteomyelitis of the foot complicating a neuropathic foot without ischemia of the foot defined as the absence of any pedal pulse. Patients aged of 18 years or more were included if they had type 2 diabetes and osteomyelitis of the foot (i.e.below the ankle).
Exclusion criteria
* Patients with gangrene or who require bone resection or amputation when osteomyelitis of the foot was diagnosed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary outcome measure was the proportion of patients of each group with remission of diabetic foot osteomyelitis at the end of follow-up. | one year | Remission was defined as the absence of any sign of infection at the initial or a contiguous site, evaluated at least one year after the end of antibiotic treatment (ie at the end of follow-up), with neither a new infectious episode nor the need for orthopedic surgery of the foot at either of these sites during the treatment and follow-up period. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| tolerance to treatment in each group of patients | 6 or 12 weeks | number of episodes of adverse events attributable to the antibiotic treatment recorded in each group of patients. |
Countries
France