Limited Clinical Utility of Routine Mycobacterial Cultures for the Management of Diabetic Foot Infections

Author:

Castellino Laila M12ORCID,McCormick-Baw Clare23,Coye Tyler4,Crisologo Peter A5,Hanna John J16,Lee Francesca13,Clark Andrew3,Fanning Michael1,Killeen Amanda L5

Affiliation:

1. Division of Infectious Diseases and Geographic Medicine, UT Southwestern Medical Center , Dallas, Texas , USA

2. Parkland Health , Dallas, Texas , USA

3. Division of Pathology and Clinical Laboratory Service, UT Southwestern Medical Center , Dallas, Texas , USA

4. Baylor College of Medicine Division of Vascular Surgery and Endovascular Therapy, , Houston, Texas , USA

5. Department of Plastic Surgery, UT Southwestern Medical Center , Dallas, Texas , USA

6. Department of Internal Medicine and Clinical Informatics, UT Southwestern Clinical Informatics Center , Dallas, Texas , USA

Abstract

Abstract Mycobacterial infections of the foot and ankle are uncommon. In a cohort of 2340 patients with diabetic foot infection (DFI) in a region with increased prevalence of mycobacterial disease, we identified no clinically significant positive cultures over a 3-year period. Routine mycobacterial culture of DFIs is of limited clinical utility.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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