A 70-year-old with diabetes and peripheral neuropathy has a chronic foot ulcer without systemic infection signs; bone involvement excluded. Antibiotic...

Question

A 70-year-old with diabetes and peripheral neuropathy has a chronic foot ulcer without systemic infection signs; bone involvement excluded. Antibiotics?

Accepted Answer

No antibiotics unless clinical infection present

Answer

Start broad-spectrum IV antibiotics

Answer

Start oral cephalexin 14 days

Answer

Start vancomycin empirically

Answer

Topical antibiotics daily

us-abfm MCQ (SBA): Diabetic Foot (antibiotic stewardship)

A 70-year-old with diabetes and peripheral neuropathy has a chronic foot ulcer without systemic infection signs; bone involvement excluded. Antibiotics?