P324 Only 16% of diabetic foot infections requiring acute hospital admission could be classified as severe based on current guidelinesE PENDRY, NL Petrova, C Manu, P Vas and ME EdmondsDiabetic Foot Clinic, King's College Hospital NHS Foundation Trust, London, UKAim: International guidelines indicate that severe diabetic foot infection (DFI) is manifested by two or more of the following: Temperature >38°C or <36°C, heart rate >90 beats/min, respiratory rate >20 breaths/min, white blood cell (WBC) count >12.0 109L or <4.0 109L. The aim was to record these in patients who needed admission to hospital for treatment of DFI.Method: Body temperature, pulse rate and respiratory rate as well as inflammatory markers were recorded at admission in 50 patients hospitalised for DFI. Data are median (25th to 75th percentile) values.Results: Serum C‐reactive protein on admission was considerably raised at 95 mg/l (51.5 to 224), (median, IQR) reference range (rr) below 5mg/l. However, body temperature was only 37.0°C (36.7 to 37.4). The median pulse rate was 81 (75 to 88) beats/min, and the median respiratory rate was 18 (17 to 18) breaths/min. The median WBC count was 10.5 (8.1 to 13.8) 109L, rr 4.0 to 11.0 109L and the median neutrophil count was 8.0 (5.9
Diabetic Medicine – Wiley
Published: Jan 1, 2018
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