Vedat TURHAN, Yalçın ÖNEM, Mesut MUTLUOĞLU, Günalp UZUN, Hakan AY

Comments on: “Comparison of microbiological results of deep tissue biopsy and superficial swab in diabetic foot infections”

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Comments on: “Comparison of microbiological results of deep tissue biopsy and superficial swab in diabetic foot infections”

We read the article by Bozkurt et al., which assessed the reliability of superficial swabs in diabetic foot ulcers with great interest.1 We believe that including anaerobic culture results is an important strength of their study, as this may help the clinician guide the empiric antimicrobial treatment decision. This paper will not only provide a considerable contribution to the clinicians in diagnosing and treating diabetic foot infections but will also serve as a referring source in reflecting the current microbiological etiology of these wounds in Turkey. However, we have some remarks concerning the methodology and conclusions.

Keywords:

Comparison, microbiological Bozkurt,

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Mutluoglu M, Uzun G, Turhan V, Gorenek L, Ay H, Lipsky BA. How reliable are cultures of specimens from superficial swabs compared with those of deep tissue in patients with diabetic foot ulcers? J Diabetes Complications 2012; 26:225- 229.
Armstrong DG, Lavery LA, Harkless LB. Validation of a dia- betic wound classification system. Diabetes Care 1998; 21: 855-859.
Abbas ZG, Lutale JK, Game FL, Jeffcoate W. Comparison of four systems of classification of diabetic foot ulcers in Tanza- nia. Diabet Med 2007; 25: 134-137.
Treece KA, Macfarlane RM, Pound N, Game FL, Jeffcoate WJ. Validation of a system of foot ulcer classification in diabetes mellitus. Diabet Med 2004; 21: 987-991.
Schaper NC. Diabetic foot ulcer classification system for re- search purposes: a progress report on criteria for including patients in research studies. Diabetes Metab Res Rev 2004; 20 (Suppl 1): S90-95.