Practice Points

• Signs and symptoms of foot infection are diminished in diabetic patients

• Microbiological investigation is essential for all infected diabetic feet

• Severe infections need intravenous antibiotic therapy and urgent assessment of the need for surgical drainage and debridement

• Infected neuroischaemic feet need vascular assessment and intervention where appropriate

• Patients with ulceration should be taught the danger signs of infection

■ Without urgent treatment, severe infections will progress to necrosis.

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