{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:40:43Z","timestamp":1787020843268,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T00:00:00Z","timestamp":1654732800000},"content-version":"vor","delay-in-days":159,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T00:00:00Z","timestamp":1654732800000},"content-version":"vor","delay-in-days":159,"URL":"https:\/\/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":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Diabetes\u2010related foot infections cause substantial morbidity and mortality, both globally and in Australia. There is a need for up\u2010to\u2010date evidence\u2010based guidelines to ensure optimal management of patients with diabetes\u2010related foot infections. We aimed to identify and adapt high quality international guidelines to the Australian context to become the new Australian evidence\u2010based guideline for people with a diabetes\u2010related foot infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following Australian National Health and Medical Research Council (NHMRC) procedures we identified the 2019 International Working Group on the Diabetic Foot (IWGDF) guidelines as suitable for adaptation to the Australian context. Guidelines were screened, assessed and judged by an expert panel for the Australian context using the guideline adaptation frameworks ADAPTE and Grading of Recommendations Assessment, Development and Evaluation (GRADE). Judgements led to recommendations being adopted, adapted or excluded, with additional consideration regarding their implementation, monitoring and future research for the Australian context. Clinical pathways were then developed to assist implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 36 original diabetes\u2010related foot infection IWGDF sub\u2010recommendations, 31 were adopted, four were adapted and one was excluded. Adaption was primarily undertaken due to differences or clarification of the sub\u2010recommendations' intended population. One sub\u2010recommendation was excluded due to substantial differences in judgements between the panel and IWGDF and unacceptable heterogeneity of the target population. Therefore, we developed 35 evidence\u2010based sub\u2010recommendations for the Australian context that should guide best practice diagnosis and management of people with diabetes\u2010related foot infection in Australia. Additionally, we incorporated these sub\u2010recommendations into two clinical pathways to assist Australian health professionals to implement these evidence\u2010based sub\u2010recommendations into clinical practice. The six guidelines and the full protocol can be found at:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.diabetesfeetaustralia.org\/new-guidelines\/\">https:\/\/www.diabetesfeetaustralia.org\/new\u2010guidelines\/<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A new national guideline for the diagnosis and management of people with diabetes\u2010related foot infections were successfully developed for the Australian context. In combination with simplified clinical pathway tools they provide an evidence\u2010based framework to ensure best management of individuals with diabetes\u2010related foot infections across Australia and highlight considerations for implementation and monitoring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13047-022-00545-4","type":"journal-article","created":{"date-parts":[[2022,6,8]],"date-time":"2022-06-08T23:33:04Z","timestamp":1654731184000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Australian guideline on management of diabetes\u2010related foot infection: part of the 2021 Australian evidence\u2010based guidelines for diabetes\u2010related foot disease"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3359-5632","authenticated-orcid":false,"given":"Robert J.","family":"Commons","sequence":"first","affiliation":[{"name":"Global Health Division Menzies School of Health Research Charles Darwin University Darwin Australia"},{"name":"Internal Medical Services Ballarat Health Services Ballarat Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Charles","sequence":"additional","affiliation":[{"name":"First Peoples Health Unit Faculty of Health Griffith University Gold Coast Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Cheney","sequence":"additional","affiliation":[{"name":"Diabetes Victoria Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah A.","family":"Lynar","sequence":"additional","affiliation":[{"name":"Global Health Division Menzies School of Health Research Charles Darwin University Darwin Australia"},{"name":"Infectious Diseases Unit Royal Darwin Hospital Darwin Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Malone","sequence":"additional","affiliation":[{"name":"South West Sydney Limb Preservation and Wound Research South Western Sydney LHD Liverpool Sydney Australia"},{"name":"Infectious Diseases and Microbiology School of Medicine Western Sydney University Campbelltown Campus Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Raby","sequence":"additional","affiliation":[{"name":"Department of Microbiology Fiona Stanley Hospital Network PathWest Laboratory Medicine Murdoch Australia"},{"name":"Infectious Diseases Department Royal Perth Hospital Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Australian Diabetes\u2010related Foot Disease Guidelines & Pathways Project","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,9]]},"reference":[{"key":"e_1_2_23_2_1","doi-asserted-by":"crossref","unstructured":"LazzariniPA PacellaRE ArmstrongDG vanNettenJJ. 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September 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 May 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 June 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors also note that this manuscript has been published online in full and can be found on the Diabetes Feet Australia website:\n                      \n                      . Furthermore, the authors confirm they have been fully authorised by Diabetes Feet Australia, the copyright owners of these 2021 Australian evidence-based guidelines for diabetes-related foot disease, to submit this manuscript for publication in the Journal of Foot and Ankle Research.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The funding\/supporting bodies below provided oversight and final approval for this guideline, however, did not have any input into the decisions on recommendations and rationale contained in these guidelines or in the writing of these guidelines. JChe is employed by Diabetes Victoria and is fully funded by the National Diabetes Services Scheme. MM was an author of the IWGDF Infection Guidelines and Systematic Review on which this manuscript is based. MM was specifically involved with the development and drafting recommendations 5 to 9 in the IWGDF Infection Guideline and addressed this conflict by not screening, assessing, deciding on or drafting any of these recommendations as part of this Australian Guideline project. All other authors declare that they have no relevant competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"47"}}