{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T07:42:45Z","timestamp":1780990965560,"version":"3.54.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T00:00:00Z","timestamp":1611792000000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T00:00:00Z","timestamp":1611792000000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To utilise the 2019 International Working Group on the Diabetic Foot (IWGDF) \u2010 diabetic foot infection (DFI) guidelines as an audit tool for clinical practice in patients with diabetes attending a High\u2010Risk Foot Service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from 93 consecutive patients were collected over a 19\u2010month period in patients attending a High\u2010Risk Foot Service. The diagnosis and management of each patient in the sample were compared against the 2019 IWGDF DFI guidelines, grouped into four categories: Diagnosis, Microbiology, Treatment of soft tissue infection, and Surgical treatment and osteomyelitis. Deficits in performance were recorded using the recommendations as a benchmark standard.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 109 DFI events. Nineteen (63%) of the recommendations were met, 7 (24%) were partially met, and four (13%) recommendations were not met. Fourteen of the sample had no documented requests for full blood counts. Tissue was obtained for culture in 32 (29%) of the sample. No percutaneous bone biopsies were performed. Only 13 (28%) patients had intraoperative bone specimens sent for culture and sensitivities, with no bone specimens sent for histopathology. Modification of antibiotic therapy following available culture results was low, occurring in 12 out of 63 possible occasions (19%). The duration of antibiotic regimens in PEDIS 2\u00a0infections and osteomyelitis was greater than that recommended.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Utilising the IWGDF DFI guidelines to benchmark clinical practice is a useful tool to identify gaps in clinical performance or service delivery and may help to improve patient care.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s13047-021-00448-w","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T09:36:17Z","timestamp":1611826577000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Utilisation of the 2019 IWGDF diabetic foot infection guidelines to benchmark practice and improve the delivery of care in persons with diabetic foot infections"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2946-8841","authenticated-orcid":false,"given":"Matthew","family":"Malone","sequence":"first","affiliation":[{"name":"South West Sydney Limb Preservation and Wound Research Academic Unit South Western Sydney LHD Liverpool 2170 Sydney NSW Australia"},{"name":"High Risk Foot Service Liverpool Hospital South Western Sydney LHD Liverpool 2170 Sydney NSW Australia"},{"name":"Ingham Institute of Applied Medical Research 1 Campbell Street 2170 Liverpool NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriaan","family":"Erasmus","sequence":"additional","affiliation":[{"name":"South West Sydney Limb Preservation and Wound Research Academic Unit South Western Sydney LHD Liverpool 2170 Sydney NSW Australia"},{"name":"High Risk Foot Service Liverpool Hospital South Western Sydney LHD Liverpool 2170 Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saskia","family":"Schwarzer","sequence":"additional","affiliation":[{"name":"South West Sydney Limb Preservation and Wound Research Academic Unit South Western Sydney LHD Liverpool 2170 Sydney NSW Australia"},{"name":"High Risk Foot Service Liverpool Hospital South Western Sydney LHD Liverpool 2170 Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namson S.","family":"Lau","sequence":"additional","affiliation":[{"name":"South West Clinical School Faculty of Medicine University of New South Wales Sydney Australia"},{"name":"High Risk Foot Service Liverpool Hospital South Western Sydney LHD Liverpool 2170 Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehtab","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Liverpool Hospital South Western Sydney LHD Liverpool Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugh G.","family":"Dickson","sequence":"additional","affiliation":[{"name":"South West Sydney Limb Preservation and Wound Research Academic Unit South Western Sydney LHD Liverpool 2170 Sydney NSW Australia"},{"name":"High Risk Foot Service Liverpool Hospital South Western Sydney LHD Liverpool 2170 Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc05\u20102425"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2015.09.023"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3273"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3280"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2749"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/15\u2010141"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010008\u20100976\u20101"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07\u20101744"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2013.06.010"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc13\u20101526"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14\u20101514"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2651"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1710926"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta10120"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/8198714"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010019437"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1086\/424846"}],"container-title":["Journal 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December 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 January 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 January 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The study was approved by the South Western Sydney LHD human research ethics committee (Project ID: 2020\/ETH02129) and conducted according to national standards governing clinical research.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"MM was an author on the IWGDF DFI Guidelines (2019). All other authors have nothing to declare.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"10"}}