PATHWAY #4 DIABETIC FOOT DISORDERS VOLUME 45, NUMBER 5, SEPTEMBER/OCTOBER 2006 S–29 be present. Hospitalization is required to treat the infection as well as systemic sequelae. Patients with poor vascular status and ischemia have an increased potential for amputation and require prompt consultation for potential revascularization (30, 77, 200). In 2004, the Infectious Disease Society of America (IDSA) developed new guidelines for the diagnosis and treatment of diabetic foot infections (123). The guidelines incorporate the infection portion of the PEDIS system into IDSA’s preferred clinical classification for infections in the diabetic foot (Table 10). Assessment of Diabetic Foot Infections When evaluating the patient with.
