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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">zdor</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы здоровья и экологии</journal-title><trans-title-group xml:lang="en"><trans-title>Health and Ecology Issues</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0967</issn><issn pub-type="epub">2708-6011</issn><publisher><publisher-name>Gomel State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51523/2708-6011.2014-11-3-11</article-id><article-id custom-type="elpub" pub-id-type="custom">zdor-1521</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ И ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS AND LECTURES</subject></subj-group></article-categories><title-group><article-title>ДИАГНОСТИКА ОСТЕОМИЕЛИТА ПРИ СИНДРОМЕ ДИАБЕТИЧЕСКОЙ СТОПЫ (обзор литературы)</article-title><trans-title-group xml:lang="en"><trans-title>DIAGNOSIS OF OSTEOMYELITIS IN DIABETIC FOOT SYNDROME</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дмитриенко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Dmitriyenko</surname><given-names>A. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аничкин</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Anichkin</surname><given-names>V. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Курек</surname><given-names>М. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Kurek</surname><given-names>M. F.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вакар</surname><given-names>А. .</given-names></name><name name-style="western" xml:lang="en"><surname>Vaqar</surname><given-names>A. .</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Гомельский государственный медицинский университет</institution></aff><aff xml:lang="en"><institution>Gomel State Medical University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>28</day><month>09</month><year>2014</year></pub-date><volume>0</volume><issue>3</issue><fpage>62</fpage><lpage>67</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Дмитриенко А.А., Аничкин В.В., Курек М.Ф., Вакар А..., 2014</copyright-statement><copyright-year>2014</copyright-year><copyright-holder xml:lang="ru">Дмитриенко А.А., Аничкин В.В., Курек М.Ф., Вакар А...</copyright-holder><copyright-holder xml:lang="en">Dmitriyenko A.A., Anichkin V.V., Kurek M.F., Vaqar A...</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.gsmu.by/jour/article/view/1521">https://journal.gsmu.by/jour/article/view/1521</self-uri><abstract><p>Диагностика остеомиелита при синдроме диабетической стопы, несмотря на все современные достижения медицины, остается достаточно сложной задачей. Это обусловлено отсутствием полного согласия в отношении определения этого состояния и критериев диагноза. В статье представлена обобщенная информация по существующим методам диагностики остеомиелита при СДС, отражены их преимущества и недостатки.</p></abstract><trans-abstract xml:lang="en"><p>The diagnosis of osteomyelitis in syndrome of diabetic foot, notwithstanding all modern achievements of medicine, stays a complex task, which is caused by difference of opinions on detection of this state and criteria for diagnosis. The article presents the generalized information about existing methods for the diagnosis of osteomyelitis in diabetic foot syndrome, shows their advantages and shortcomings.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>остеомиелит</kwd><kwd>синдром диабетической стопы</kwd><kwd>диабетическая остеоартропатия</kwd><kwd>osteomyelitis</kwd><kwd>syndrome of diabetic foot</kwd><kwd>diabetic osteoarthropathy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Diagnosing and treating diabetic foot infections / B. Lipsky [et. al.] // Diabetes Metab. Res. Rev. - 2004. - Vol. 20, № 1. - P. 56-64.</mixed-citation><mixed-citation xml:lang="en">Diagnosing and treating diabetic foot infections / B. Lipsky [et. al.] // Diabetes Metab. Res. Rev. - 2004. - Vol. 20, № 1. - P. 56-64.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Expert opinion on the management of infections in the diabetic foot / B. Lipsky [et. al.] // Diabetes Metab. Res. Rev. - 2012. - Vol. 28, № 1. - P. 163-178.</mixed-citation><mixed-citation xml:lang="en">Expert opinion on the management of infections in the diabetic foot / B. Lipsky [et. al.] // Diabetes Metab. Res. Rev. - 2012. - Vol. 28, № 1. - P. 163-178.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Risk factors for developing osteomyelitis in patients with diabetic foot wounds / L. Lavery [et. al.] // Diabetes Res. Clin. Pract. - 2009. - Vol. 83. - P. 347-352.</mixed-citation><mixed-citation xml:lang="en">Risk factors for developing osteomyelitis in patients with diabetic foot wounds / L. Lavery [et. al.] // Diabetes Res. Clin. Pract. - 2009. - Vol. 83. - P. 347-352.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Armstrong, D. Guest editorial: are diabetes-related wounds and amputations worse than cancer? / D. Armstrong, J. Wrobel, J. Robbins // Int. Wound J. - 2007. - Vol. 4. -P. 286-287.</mixed-citation><mixed-citation xml:lang="en">Armstrong, D. Guest editorial: are diabetes-related wounds and amputations worse than cancer? / D. Armstrong, J. Wrobel, J. Robbins // Int. Wound J. - 2007. - Vol. 4. -P. 286-287.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">A prospective, multi-center study: factors related to the management of diabetic foot infections / B. Ertugrul [et. al.] // Eur. J. Clin. Microbiol. Infect. Dis. - 2012. - Vol. 31. - P. 345-352.</mixed-citation><mixed-citation xml:lang="en">A prospective, multi-center study: factors related to the management of diabetic foot infections / B. Ertugrul [et. al.] // Eur. J. Clin. Microbiol. Infect. Dis. - 2012. - Vol. 31. - P. 345-352.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Удовиченко, О.В. Диабетическая стопа / О. В. Удовиченко, Н. М. Грекова. - М.: Практическая медицина, 2010. - 105 с.</mixed-citation><mixed-citation xml:lang="en">Удовиченко, О.В. Диабетическая стопа / О. В. Удовиченко, Н. М. Грекова. - М.: Практическая медицина, 2010. - 105 с.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Unsuspected osteomyelitis in diabetic foot ulcers. Diagnosis and monitoring by leukocyte scanning with indium in 111 oxyquinoline / L. G. Newman [et al.] // JAMA. - 1991. - Vol. 266. - P. 1246-1251.</mixed-citation><mixed-citation xml:lang="en">Unsuspected osteomyelitis in diabetic foot ulcers. Diagnosis and monitoring by leukocyte scanning with indium in 111 oxyquinoline / L. G. Newman [et al.] // JAMA. - 1991. - Vol. 266. - P. 1246-1251.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Probing to bone in infected pedal ulcers. A clinical sign of underlying osteomyelitis in diabetic patients / M. L. Grayson [et al.] // JAMA. - 1995. - Vol. 273. - P. 721-723.</mixed-citation><mixed-citation xml:lang="en">Probing to bone in infected pedal ulcers. A clinical sign of underlying osteomyelitis in diabetic patients / M. L. Grayson [et al.] // JAMA. - 1995. - Vol. 273. - P. 721-723.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Probing the validity of the probe-to-bone test in the diagnosis of osteomyelitis of the foot in diabetes / A. Shone [et al.] // Diabetes Care. - 2006. - № 29. - P. 945.</mixed-citation><mixed-citation xml:lang="en">Probing the validity of the probe-to-bone test in the diagnosis of osteomyelitis of the foot in diabetes / A. Shone [et al.] // Diabetes Care. - 2006. - № 29. - P. 945.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Probe-to-bone test for diagnosing diabetic foot osteomyelitis: reliable or relic? / L. A. Lavery [et al.] Diabetes Care. - 2007. - № 30. - Р. 270-274.</mixed-citation><mixed-citation xml:lang="en">Probe-to-bone test for diagnosing diabetic foot osteomyelitis: reliable or relic? / L. A. Lavery [et al.] Diabetes Care. - 2007. - № 30. - Р. 270-274.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Hartemann-Heurtier, A. Diabetic foot osteomyelitis / A. Hartemann-Heurtier, E. Senneville // Diabetes Metab. - 2008. - № 34. - P. 87-95.</mixed-citation><mixed-citation xml:lang="en">Hartemann-Heurtier, A. Diabetic foot osteomyelitis / A. Hartemann-Heurtier, E. Senneville // Diabetes Metab. - 2008. - № 34. - P. 87-95.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Aragon-Sanchez, J. Diagnosing diabetic foot osteomyelitis: is the combination of probe-to-bone test and plain radiography sufficient for high-risk inpatients? / J. Aragon-Sanchez, B. A. Lipsky, J. L. Lazaro-Martinez // Diabet Med. - 2011. - № 28. - Р. 191-194.</mixed-citation><mixed-citation xml:lang="en">Aragon-Sanchez, J. Diagnosing diabetic foot osteomyelitis: is the combination of probe-to-bone test and plain radiography sufficient for high-risk inpatients? / J. Aragon-Sanchez, B. A. Lipsky, J. L. Lazaro-Martinez // Diabet Med. - 2011. - № 28. - Р. 191-194.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Validating the probe-to-bone and other tests for diagnosing chronic osteomyelitis in the diabetic foot / R. Morales Lozano [et al.] // Diabetes Care. - 2010. - № 33. - P. 2140-2145.</mixed-citation><mixed-citation xml:lang="en">Validating the probe-to-bone and other tests for diagnosing chronic osteomyelitis in the diabetic foot / R. Morales Lozano [et al.] // Diabetes Care. - 2010. - № 33. - P. 2140-2145.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Kaleta, J. L. The diagnosis of osteomyelitis in diabetes using rythrocyte sedimentation rate: a pilot study / J. L. Kaleta, J. W. Fleischli, C. H. Reilly // J Am Podiatr Med Assoc. - 2001. - Vol. 91, № 9. - Р. 445-450.</mixed-citation><mixed-citation xml:lang="en">Kaleta, J. L. The diagnosis of osteomyelitis in diabetes using rythrocyte sedimentation rate: a pilot study / J. L. Kaleta, J. W. Fleischli, C. H. Reilly // J Am Podiatr Med Assoc. - 2001. - Vol. 91, № 9. - Р. 445-450.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Combined clinical and laboratory testing improves diagnostic accuracy for osteomyelitis in the diabetic foot / A. E. Fleischer [et al.] // J Foot Ankle Surg. - 2009. - Vol. 48, № 1. - P. 39-46.</mixed-citation><mixed-citation xml:lang="en">Combined clinical and laboratory testing improves diagnostic accuracy for osteomyelitis in the diabetic foot / A. E. Fleischer [et al.] // J Foot Ankle Surg. - 2009. - Vol. 48, № 1. - P. 39-46.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Jeffcoate, W. J. Controversies in diagnosing and managing osteomyelitis of the foot in diabetes / W. J. Jeffcoate, B. A. Lipsky // Clin Infect Dis. - 2004. - Vol. 39, № 2. - P. 115-122.</mixed-citation><mixed-citation xml:lang="en">Jeffcoate, W. J. Controversies in diagnosing and managing osteomyelitis of the foot in diabetes / W. J. Jeffcoate, B. A. Lipsky // Clin Infect Dis. - 2004. - Vol. 39, № 2. - P. 115-122.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Evaluation of magnetic resonance imaging in the diagnosis of osteomyelitis in diabetic foot infections / D. Weinstein [et al.] // Foot Ankle. - 1993. - № 14. - P. 18-22.</mixed-citation><mixed-citation xml:lang="en">Evaluation of magnetic resonance imaging in the diagnosis of osteomyelitis in diabetic foot infections / D. Weinstein [et al.] // Foot Ankle. - 1993. - № 14. - P. 18-22.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Osteomyelitis of the foot in diabetic patients: evaluation with plain film, 99mTc-MDP bone scintigraphy, and MR imaging / W. T. Yuh [et al.] // AJR Am J Roentgenol. - 1989. - № 152. - P. 795-800.</mixed-citation><mixed-citation xml:lang="en">Osteomyelitis of the foot in diabetic patients: evaluation with plain film, 99mTc-MDP bone scintigraphy, and MR imaging / W. T. Yuh [et al.] // AJR Am J Roentgenol. - 1989. - № 152. - P. 795-800.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Sinacore, D. R. Acute Charcot arthropathy in patients with diabetes mellitus: healing times by foot location / D.R. Sinacore // J Diabetes Complications. - 1998. - № 12. - P. 287-293.</mixed-citation><mixed-citation xml:lang="en">Sinacore, D. R. Acute Charcot arthropathy in patients with diabetes mellitus: healing times by foot location / D.R. Sinacore // J Diabetes Complications. - 1998. - № 12. - P. 287-293.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Guyton, G. P. An analysis of iatrogenic complications from the total contact cast / G. P. Guyton // Foot Ankle Int. - 2005. - № 26. - P. 903-907.</mixed-citation><mixed-citation xml:lang="en">Guyton, G. P. An analysis of iatrogenic complications from the total contact cast / G. P. Guyton // Foot Ankle Int. - 2005. - № 26. - P. 903-907.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Dinh, M. T. Diagnostic Accuracy of the Physical Examination and Imaging Tests for Osteomyelitis Underlying Diabetic Foot Ulcers: Meta-Analysis / M. T. Dinh, L. A. Cybele, N. Safdar // Chicago journals Clinical Infectious Diseases. - 2008. - № 47. - P. 519-527.</mixed-citation><mixed-citation xml:lang="en">Dinh, M. T. Diagnostic Accuracy of the Physical Examination and Imaging Tests for Osteomyelitis Underlying Diabetic Foot Ulcers: Meta-Analysis / M. T. Dinh, L. A. Cybele, N. Safdar // Chicago journals Clinical Infectious Diseases. - 2008. - № 47. - P. 519-527.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Лучевая диагностика остеомиелита на фоне диабетической стопы / В. Д. Завадовская [и др.] // Медицинская визуализация. - 2009. - № 4. - С. 43-54.</mixed-citation><mixed-citation xml:lang="en">Лучевая диагностика остеомиелита на фоне диабетической стопы / В. Д. Завадовская [и др.] // Медицинская визуализация. - 2009. - № 4. - С. 43-54.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">MR imaging of osteomyelitis and neuropathic osteoarthropathy in the feet of diabetics / C. D. Marcus [et al.] // Radiographics. - 1996. - № 16. -P. 1337-1348.</mixed-citation><mixed-citation xml:lang="en">MR imaging of osteomyelitis and neuropathic osteoarthropathy in the feet of diabetics / C. D. Marcus [et al.] // Radiographics. - 1996. - № 16. -P. 1337-1348.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Ledermann, H. P. MR Image Analysis of Pedal Osteomyelitis: Distribution, Patterns of Spread, and Frequency of Associated Ulceration and Septic Arthritis / H. P. Ledermann, W. B. Morrison, M. E. Schweitzer // Radiology. - 2002. - Vol. 223, № 3. - P. 747-755.</mixed-citation><mixed-citation xml:lang="en">Ledermann, H. P. MR Image Analysis of Pedal Osteomyelitis: Distribution, Patterns of Spread, and Frequency of Associated Ulceration and Septic Arthritis / H. P. Ledermann, W. B. Morrison, M. E. Schweitzer // Radiology. - 2002. - Vol. 223, № 3. - P. 747-755.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Ledermann, H. P. Pedal Abscesses in Patients Suspected of Having Pedal Osteomyelitis: Analysis with MR Imaging / H. P. Ledermann, W. B. Morrison, M. E. Schweitzer // Radiology. - 2002. - № 224. - P. 649-655.</mixed-citation><mixed-citation xml:lang="en">Ledermann, H. P. Pedal Abscesses in Patients Suspected of Having Pedal Osteomyelitis: Analysis with MR Imaging / H. P. Ledermann, W. B. Morrison, M. E. Schweitzer // Radiology. - 2002. - № 224. - P. 649-655.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Tan, P. L. MRI of the diabetic foot: differentiation of infection from neuropathic change / P. L.Tan, J. Ten // The British Journal of Radiology. - 2007. - № 80. - P. 939-948.</mixed-citation><mixed-citation xml:lang="en">Tan, P. L. MRI of the diabetic foot: differentiation of infection from neuropathic change / P. L.Tan, J. Ten // The British Journal of Radiology. - 2007. - № 80. - P. 939-948.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Gnanasegaran, G. Nuclear Medicine imaging of infection and inflammation. Part 3: Clinical applications / G. Gnanasegaran, J. Croasdale, J. R. Buscombe // World J. of Nuclear Medicine. - 2005. - Vol. 4, № 2. - P. 127-137.</mixed-citation><mixed-citation xml:lang="en">Gnanasegaran, G. Nuclear Medicine imaging of infection and inflammation. Part 3: Clinical applications / G. Gnanasegaran, J. Croasdale, J. R. Buscombe // World J. of Nuclear Medicine. - 2005. - Vol. 4, № 2. - P. 127-137.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Возможности трехфазной сцинтиграфии в диагностике диабетической остеоартропатии / М. А. Зоркальцев [и др.] // Бюллетень Сибирской медицины. - 2012. - № 5. - С. 5-12.</mixed-citation><mixed-citation xml:lang="en">Возможности трехфазной сцинтиграфии в диагностике диабетической остеоартропатии / М. А. Зоркальцев [и др.] // Бюллетень Сибирской медицины. - 2012. - № 5. - С. 5-12.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">El-Maghraby, T. A. Nuclear medicine methods for evaluation of skeletal infection among other diagnostic modalities / T. A. El-Maghraby, H. M. Moustafa, E. K. Pauwels // Q. J. Nucl. Med. Mol. Imaging. - 2006. - № 50. - P. 167-192.</mixed-citation><mixed-citation xml:lang="en">El-Maghraby, T. A. Nuclear medicine methods for evaluation of skeletal infection among other diagnostic modalities / T. A. El-Maghraby, H. M. Moustafa, E. K. Pauwels // Q. J. Nucl. Med. Mol. Imaging. - 2006. - № 50. - P. 167-192.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Nuclear medicine imaging of bone infections / N. Prandini [et al.] // Nucl. Med. Commun. - 2006. - Vol. 8, № 27. - P. 633-644.</mixed-citation><mixed-citation xml:lang="en">Nuclear medicine imaging of bone infections / N. Prandini [et al.] // Nucl. Med. Commun. - 2006. - Vol. 8, № 27. - P. 633-644.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Сравнение возможностей трехфазной сцинтиграфии с цинтиграфией меченными лейкоцитами в диагностике остеомиелита у пациентов с синдромом диабетической стопы / В. Д. Завадовская [и др.] // Радиология - практика. - 2012. - № 1. - С. 4-12.</mixed-citation><mixed-citation xml:lang="en">Сравнение возможностей трехфазной сцинтиграфии с цинтиграфией меченными лейкоцитами в диагностике остеомиелита у пациентов с синдромом диабетической стопы / В. Д. Завадовская [и др.] // Радиология - практика. - 2012. - № 1. - С. 4-12.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Ledermann, H. P. Nonenhancing tissue on MR imaging of pedal infection: characterization of necrotic tissue and associated limitations for iagnosis of osteomyelitis and abscess / H. P. Ledermann, M. E. Schweitzer, W. B. Morrison // AJR Am J Raentgenol. - 2002. - № 178. -P. 215-222.</mixed-citation><mixed-citation xml:lang="en">Ledermann, H. P. Nonenhancing tissue on MR imaging of pedal infection: characterization of necrotic tissue and associated limitations for iagnosis of osteomyelitis and abscess / H. P. Ledermann, M. E. Schweitzer, W. B. Morrison // AJR Am J Raentgenol. - 2002. - № 178. -P. 215-222.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Culture of percutaneous bone biopsy specimens for diagnosis of diabetic foot osteomyelitis: concordance with ulcer swab cultures / E. Senneville [et al.] // Clin Infect Dis. - 2006. - № 42. - P. 57-62.</mixed-citation><mixed-citation xml:lang="en">Culture of percutaneous bone biopsy specimens for diagnosis of diabetic foot osteomyelitis: concordance with ulcer swab cultures / E. Senneville [et al.] // Clin Infect Dis. - 2006. - № 42. - P. 57-62.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Khatri, G. Effect of bone biopsy in guiding antimicrobial therapy for osteomyelitis complicating open wounds / G. Khatri, D. K. Wagner, P. G. Sohnle // Am J Med Sci. - 2001. - № 321. - P. 367-371.</mixed-citation><mixed-citation xml:lang="en">Khatri, G. Effect of bone biopsy in guiding antimicrobial therapy for osteomyelitis complicating open wounds / G. Khatri, D. K. Wagner, P. G. Sohnle // Am J Med Sci. - 2001. - № 321. - P. 367-371.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Swab cultures accurately identify bacterial pathogens in diabetic foot wounds not involving bone / R. A. Slater [et al.] // Diabet Med. - 2004. - № 21. - P. 705-709.</mixed-citation><mixed-citation xml:lang="en">Swab cultures accurately identify bacterial pathogens in diabetic foot wounds not involving bone / R. A. Slater [et al.] // Diabet Med. - 2004. - № 21. - P. 705-709.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Lack of microbiological concordance between bone and non-bone specimens in chronic osteomyelitis: an observational study / A. F. Zuluaga [et al.] // BMC Infect Dis. - 2002. - № 2. - P. 8.</mixed-citation><mixed-citation xml:lang="en">Lack of microbiological concordance between bone and non-bone specimens in chronic osteomyelitis: an observational study / A. F. Zuluaga [et al.] // BMC Infect Dis. - 2002. - № 2. - P. 8.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Role of bone biopsy specimen culture in the management of diabetic foot osteomyelitis / T. P. Elamurugan [et al.] // Int J Surg. - 2011. - № 9. - P. 214-216.</mixed-citation><mixed-citation xml:lang="en">Role of bone biopsy specimen culture in the management of diabetic foot osteomyelitis / T. P. Elamurugan [et al.] // Int J Surg. - 2011. - № 9. - P. 214-216.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Needle puncture and transcutaneous bone biopsy cultures are inconsistent in patients with diabetes and suspected osteomyelitis of the foot / E. Senneville [et al.] // Clin Infect Dis. - 2009. - № 48. - P. 888-893.</mixed-citation><mixed-citation xml:lang="en">Needle puncture and transcutaneous bone biopsy cultures are inconsistent in patients with diabetes and suspected osteomyelitis of the foot / E. Senneville [et al.] // Clin Infect Dis. - 2009. - № 48. - P. 888-893.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Expert opinion on the management of infections in the diabetic foot / B. A. Lipsky [et al.] // Diabetes Metab Res Rev. - 2012. - Vol. 28, № 1. - P. 163-178.</mixed-citation><mixed-citation xml:lang="en">Expert opinion on the management of infections in the diabetic foot / B. A. Lipsky [et al.] // Diabetes Metab Res Rev. - 2012. - Vol. 28, № 1. - P. 163-178.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections / B. A. Lipsky [et al.] // Clin Infect Dis. - 2012. - № 54. - P. 132-173.</mixed-citation><mixed-citation xml:lang="en">Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections / B. A. Lipsky [et al.] // Clin Infect Dis. - 2012. - № 54. - P. 132-173.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Diabetic foot osteomyelitis: a progress report on diagnosis and a systematic review of treatment / A. R. Berendt [et al.] // Diabetes Metab Res Rev. - 2008. - Vol. 24, № 1. - P. 145-161.</mixed-citation><mixed-citation xml:lang="en">Diabetic foot osteomyelitis: a progress report on diagnosis and a systematic review of treatment / A. R. Berendt [et al.] // Diabetes Metab Res Rev. - 2008. - Vol. 24, № 1. - P. 145-161.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
