In this study, 29 patients were hospitalized with a diabetic foot infection and were treated with piperacillin/tazobactam. Of these 23 patients who were evaluated for efficacy of treatment, 22 patients improved or were clinically cured. In seven patients (30%), there was persistence of one of the baseline pathogens. Adverse events were reported in 15 patients (58%), three of which were serious. Piperacillin/tazobactam may be useful as monotherapy in diabetic foot infection giving an adequate clinical response and the level of side effects equivalent to those of other broad-spectrum antibiotics.
Get full access to this article
View all access options for this article.
References
1.
. AsfarS. K.Al-AroujM.Al-NakhiA.BarakaA.JumaT.JohnyM.: Foot infections in diabetics: the antibiotic choice. Can. J. Surg., 36: 170–172, 1993.
2.
. BouterK. P.StormA. J.De GrootR. R. M.UitslagerR.ErkelensD. W.DieperslootR. J. A.: The diabetic foot in Dutch hospitals: epidemiological features and clinical outcome. Eur. J. Med., 2: 215–218, 1993.
3.
. BoultonA. J. M.: The diabetic foot. Med. Clin. North Am., 72: 1513–1530, 1988.
4.
. CaputoG. M.CavanaghP. R.UlbrechtJ. S.GibbonsG. W.KarchmerA. W.: Assessment and management of foot disease in patients with diabetes. N. Engl. J. Med., 331: 854–860, 1994.
5.
. HughesC. E.JohnsonC. C.BambergerD. M. et al.: Treatment and long-term follow-up of foot infections in patients with diabetes or ischemia: a randomized, prospective, double-blind comparison of cefoxitin and ceftizoxime. Clin. Then, 10: Suppl. A: 36–49, 1987.
6.
. KinzigM.SorgelF.BrismarB.NordC. E.: Pharmacokinetics and tissue penetration of tazobactam and piperacillin in patients undergoing colorectal surgery. Antimicrob. Agents Chemother., 36: 1997–2004, 1992.
7.
. PankeyG. A.: Diagnosis and treatment of skin and soft tissue infections: clinical experience with tircarcillin disodium-clavulanate potassium. Pharmacotherapy, 11: 905–985, 1991.
8.
. SapicoF. L.CanawatiH. N.WitteJ. L.MontgomeryJ. Z.WagnerF. W.Jr.BessmanA. N.: Quantitative aerobic and anaerobic bacteriology of infected diabetic feet. J. Clin. Microbiol., 12: 413–420, 1980.
9.
. SesinG. P.PaszkoA.O'KeefeE.: Oral clindamycin and ciprofloxacin therapy for diabetic foot infections. Pharmacotherapy, 10: 154–156, 1990.
10.
. WagnerF. W.Jr.: Treatment of the diabetic foot. Compr. Ther., 10: 29–38, 1984.