98: StAR: Diabetes-related Foot Infections

In this episode of Febrile, host Sara Dong welcomes Drs. Meghan Brennan, Marcos Schechter, Tze-Woei Tan, and David Armstrong to discuss the evaluation and management of diabetes-related foot infections (DFI). The discussion begins with introductions and a light-hearted sharing of personal cultural interests. The doctors then delve into a detailed discussion of a patient case, focusing on the Wound Ischemia Foot Infection (WIFI) classification system, the importance of interdisciplinary communication, and the nuances of infection management. They explore surgical options, antimicrobial therapies, and the significance of offloading and preventative foot care. The panel also addresses controversies such as the use of rifampin and local antimicrobial delivery, and they emphasize the need for a multidisciplinary approach to prevent amputations and improve patient outcomes.