A randomized, controlled study to investigate the efficacy and safety of a topical gentamicin-collagen sponge in combination with systemic antibiotic therapy in diabetic patients with a moderate or severe foot ulcer infection

BMC Infect Dis. 2018 Aug 2;18(1):361. doi: 10.1186/s12879-018-3253-z.

Abstract

Background: An adjunctive topical therapy with gentamicin-sponges to systemic antibiotic therapy might improve the healing of infected diabetic foot ulcers (DFUI).

Methods: Single-center, investigator-blinded pilot study, randomizing (1:1) the gentamicin-sponge with systemic antibiotic versus systemic antibiotics alone for patients with DFUI.

Results: We included 88 DFUI episodes with 43 patients in the gentamicin-sponge arm and 45 in the control arm. Overall, 64 (64/88; 73%) witnessed total clinical cure, 13 (15%) significant improvement, and 46 (52%) showed total eradication of all pathogens at the final visit. Regarding final clinical cure, there was no difference in favour of the gentamicin-sponges (26/45 vs. 31/43; p = 0.16). However, the gentamicin-sponge arm tended to a more rapid healing. In multivariate analysis adjusting for the case-mix, the variable "gentamicin-sponge" was not significantly associated with "cure and improvement". Gentamicin-sponges were very well tolerated, without any attributed adverse events.

Conclusions: The gentamicin-sponge was very well tolerated, but did not significantly influence overall cure.

Trial registration: ClinicalTrials.gov ( NCT01951768 ). Date 2 April 2013.

Keywords: Cure; Diabetic foot infections; Gentamicin sponge; Pathogens; Safety.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Bandages
  • Collagen / therapeutic use*
  • Diabetic Foot / drug therapy*
  • Gentamicins / therapeutic use*
  • Humans
  • Pilot Projects

Substances

  • Anti-Bacterial Agents
  • Gentamicins
  • Collagen

Associated data

  • ClinicalTrials.gov/NCT01951768