A 56-year-old with diabetes presents with a superficial plantar ulcer with mild local erythema, no systemic signs, ABI 0.9, x-ray shows no osteomyelit...

Question

A 56-year-old with diabetes presents with a superficial plantar ulcer with mild local erythema, no systemic signs, ABI 0.9, x-ray shows no osteomyelitis. Which empiric approach is appropriate?

Accepted Answer

Oral therapy targeting gram-positive cocci for 1-2 weeks

Answer

Empiric antipseudomonal IV therapy for all DFIs

Answer

No antibiotics unless osteomyelitis is confirmed

Answer

Immediate below-knee amputation

Answer

Topical antibiotics alone for 4 weeks

us-abim MCQ (SBA): Diabetic Foot Infection

A 56-year-old with diabetes presents with a superficial plantar ulcer with mild local erythema, no systemic signs, ABI 0.9, x-ray shows no osteomyelitis. Which empiric approach is appropriate?