{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:30:03Z","timestamp":1791549003548,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,8,28]],"date-time":"2019-08-28T00:00:00Z","timestamp":1566950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100009187","name":"Medical Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009187","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["APMIS"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:p>Multiple approaches were employed to detect pathogens from bone margins associated with Diabetic Foot Osteomyelitis (DFO). Intra\u2010operative bone specimens of 14 consecutive subjects with suspected DFO were collected over a six\u2010month study period from Liverpool Hospital. Infected bone and a proximal bone margins presumed to be \u2018clean\/non\u2010infected\u2019 were collected. Bone material was subjected to conventional culture, DNA sequencing and microscopy. In total, eight of 14 (57%) proximal bone margins had no growth by conventional culture but were identified in all proximal bone specimens by DNA sequencing. Proximal margins had lower median total microbial counts than infected specimens, but these differences were not statistically significant. Pathogens identified by sequencing in infected specimens were identified in proximal margins and the microbiomes were similar (ANOSIM\u00a0=\u00a00.02, p\u00a0=\u00a00.59). Using a combination of SEM and\/or PNA\u2010FISH, we visualized the presence of microorganisms in infected bone specimens and their corresponding proximal margins of seven patients (50%) with DFO. We identify that bacteria can still reside in what seems to be proximal \u2018clean\u2019 margins. The significance and implications of clinical outcomes requires further analysis from a larger sample size that incorporates differences in surgical and post\u2010operative approaches, correlating any outcomes back to culture\u2010sequence findings.<\/jats:p>","DOI":"10.1111\/apm.12986","type":"journal-article","created":{"date-parts":[[2019,7,25]],"date-time":"2019-07-25T19:53:36Z","timestamp":1564084416000},"page":"660-670","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Analysis of proximal bone margins in diabetic foot osteomyelitis by conventional culture, DNA sequencing and microscopy"],"prefix":"10.1111","volume":"127","author":[{"given":"Matthew","family":"Malone","sequence":"first","affiliation":[{"name":"South West Sydney Limb Preservation and Wound Research, South Western Sydney LHD Ingham Institute of Applied Medical Research Sydney NSW Australia"},{"name":"Infectious Diseases and Microbiology, School 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