Pharmacy, Health Sciences & Exercise Science
Evaluation of Guideline Adherence and Treatment of Moderate to Severe Diabetic Foot Infections
Document Type
Oral Presentation
Location
Indianapolis, IN
Subject Area
Pharmacy, Health Sciences & Exercise Science
Start Date
10-4-2015 9:30 AM
End Date
10-4-2015 10:00 AM
Sponsor
Kendra Damer, Sharon Erdman (Butler University)
Description
Introduction:
Diabetic foot infections (DFI) cause significant morbidity and are an increasingly common problem in diabetic patients. Diagnosis and treatment of these infections is a complicated process, and significant variability in their management can be observed among healthcare professionals. The Infectious Diseases Society of America (IDSA) revised the diabetic foot infection practice guidelines in 2012, which offer eleven key recommendations for consideration by clinicians in the assessment, evaluation, treatment, and ongoing management of the disease state.
Objective:
The primary objective is to evaluate adherence to the eleven recommendations outlined in the IDSA guidelines in the management of moderate to severe DFI in an outpatient parenteral antimicrobial therapy (OPAT) setting. Secondary objectives include evaluating treatment outcomes at the completion of OPAT therapy and at 6 months following completion, changes in glucose control at 6 months, and risk factors associated with treatment failure.
Methods:
A retrospective, observational chart review was completed at Sidney & Lois Eskenazi Hospital. It included subjects admitted with a moderate to severe DFI and released to OPAT for completion of therapy. Data collected included demographics, risk factors for treatment failure, treatment course, compliance, and clinical outcome. Descriptive statistics was used to analyze data collected during patients' inpatient, outpatient, and follow up visits. A data collection form was utilized to eliminate abstraction bias.
Significance:
This study will provide valuable feedback to healthcare professionals and highlight areas where improvements and education can be made in the management of DFI in an attempt to maximize patient outcomes, improve quality of life, minimize hospital admissions and re-admissions, and lower overall healthcare costs.
Evaluation of Guideline Adherence and Treatment of Moderate to Severe Diabetic Foot Infections
Indianapolis, IN
Introduction:
Diabetic foot infections (DFI) cause significant morbidity and are an increasingly common problem in diabetic patients. Diagnosis and treatment of these infections is a complicated process, and significant variability in their management can be observed among healthcare professionals. The Infectious Diseases Society of America (IDSA) revised the diabetic foot infection practice guidelines in 2012, which offer eleven key recommendations for consideration by clinicians in the assessment, evaluation, treatment, and ongoing management of the disease state.
Objective:
The primary objective is to evaluate adherence to the eleven recommendations outlined in the IDSA guidelines in the management of moderate to severe DFI in an outpatient parenteral antimicrobial therapy (OPAT) setting. Secondary objectives include evaluating treatment outcomes at the completion of OPAT therapy and at 6 months following completion, changes in glucose control at 6 months, and risk factors associated with treatment failure.
Methods:
A retrospective, observational chart review was completed at Sidney & Lois Eskenazi Hospital. It included subjects admitted with a moderate to severe DFI and released to OPAT for completion of therapy. Data collected included demographics, risk factors for treatment failure, treatment course, compliance, and clinical outcome. Descriptive statistics was used to analyze data collected during patients' inpatient, outpatient, and follow up visits. A data collection form was utilized to eliminate abstraction bias.
Significance:
This study will provide valuable feedback to healthcare professionals and highlight areas where improvements and education can be made in the management of DFI in an attempt to maximize patient outcomes, improve quality of life, minimize hospital admissions and re-admissions, and lower overall healthcare costs.