Results of percutaneous needle culture sampling and synchronous irrigation with Dakins' solution in Wagner Grade 3 diabetic foot osteomyelitis

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dc.contributor.authorAytekin, Feyza Yildiz
dc.contributor.authorTakir, Selcuk
dc.contributor.authorGurbuz, Perihan
dc.contributor.authorAgraz, Melih
dc.contributor.authorAytekin, Kursad
dc.date.accessioned2026-04-04T13:34:41Z
dc.date.available2026-04-04T13:34:41Z
dc.date.issued2026
dc.departmentİnönü Üniversitesi
dc.description.abstractWagner Grade 3 diabetic foot osteomyelitis is a severe infection involving bone, often requiring a multidisciplinary approach for effective management. While percutaneous bone biopsy is widely recognized as the gold standard for pathogen identification, the addition of percutaneous bactericidal irrigation has not been extensively explored in the literature. This study evaluates a minimally invasive approach combining percutaneous needle culture sampling with Dakins' solution irrigation in a single session. A retrospective analysis of 31 patients was conducted to assess its feasibility, effectiveness in pathogen identification, and impact on infection control. The most frequently isolated bacterium was Staphylococcus aureus, with no significant correlation between bacterial type and infected bone. Four patients required re-intervention due to persistent symptoms, revealing different bacterial isolates upon re-culture. Significant reductions in CRP levels were observed post-intervention, while WBC changes were not statistically significant. These findings suggest that this combined percutaneous approach may be an effective and minimally invasive strategy for both diagnostic and therapeutic purposes in Wagner Grade 3 osteomyelitis. Further studies with larger sample sizes and extended follow-up are warranted to confirm its long-term benefits.
dc.identifier.doi10.1038/s41598-025-34785-8
dc.identifier.issn2045-2322
dc.identifier.issue1
dc.identifier.pmid41605985
dc.identifier.scopus2-s2.0-105029255989
dc.identifier.scopusqualityN/A
dc.identifier.urihttps://doi.org/10.1038/s41598-025-34785-8
dc.identifier.urihttps://hdl.handle.net/11616/109326
dc.identifier.volume16
dc.identifier.wosWOS:001680933000003
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherNature Portfolio
dc.relation.ispartofScientific Reports
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250329
dc.subjectPatients with diabetes foot
dc.subjectOsteomyelitis
dc.subjectPercutaneous culture sampling
dc.subjectPercutaneous irrigation
dc.subjectDakins' solution
dc.subjectSodium hypochlorite
dc.titleResults of percutaneous needle culture sampling and synchronous irrigation with Dakins' solution in Wagner Grade 3 diabetic foot osteomyelitis
dc.typeArticle

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