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🦶 PEDIS / IDSA-IWGDF Diabetic Foot Infection Grade

UseWhen to use: clinically suspected diabetic foot infection after wound assessment.

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StrataHigher grades need faster escalation, imaging and often IV therapy/surgery.

LimitsWhen not to use: as the sole ischaemia or osteomyelitis rule-out. · Pitfall: undertreating ischaemic infected feet without vascular asses… · Always evaluate PAD and offloading.

SourceIWGDF / IDSA diabetic foot infection guidelines (tool-page edition)

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Score + version; reference only — not a substitute for care · no HIS write

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Methodology · worked example, guidelines & full notes
Clinical takeaway

Infection grade ≠ perfusion grade.

When to use

When to use: clinically suspected diabetic foot infection after wound assessment.

How it works

1 uninfected; 2 mild (≤2 cm erythema, skin/subcut); 3 moderate (deeper or >2 cm / deeper structures); 4 severe (local infection + SIRS).

Key points

  • Infection grade ≠ perfusion grade.
  • Grade 4 is an emergency.
  • Next: culture strategy, imaging, revascularisation pathways; CN diabetic-foot guideline on zh.

References

  • [Guideline / primary source]IWGDF / IDSA diabetic foot infection guidelines (tool-page edition)
  • [Guideline / primary source]《中国糖尿病足防治指南》 on zh pages

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Infection grade (clinical)2 — Mild: skin/subcutaneous only; erythema ≤ 2 cm

→PEDIS infection grade2

  • Class:Mild infection
  • Next-step focus:Often outpatient oral antibiotics covering typical skin flora per local guidance; reassess rapidly.
Infection grade (clinical)1 — Uninfected (no systemic or local infection signs)

→PEDIS infection grade1

  • Class:Uninfected
  • Next-step focus:No antimicrobial therapy for infection; optimise ulcer care and offloading.
Verification & sources · governance
FAQ

Frequently asked questions

Does PEDIS / IDSA-IWGDF Diabetic Foot Infection Grade upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is PEDIS / IDSA-IWGDF Diabetic Foot Infection Grade calculated in practice? Can you show a worked example?
Inputs: Infection grade (clinical) 2 — Mild: skin/subcutaneous only; erythema ≤ 2 cm → Result: PEDIS infection grade 2(Class: Mild infection, Next-step focus: Often outpatient oral antibiotics covering typical skin flora per local guidance; reassess rapidly.) Inputs: Infection grade (clinical) 1 — Uninfected (no systemic or local infection signs) → Result: PEDIS infection grade 1(Class: Uninfected, Next-step focus: No antimicrobial therapy for infection; optimise ulcer care and offloading.)
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