Skip to main content

WOUND CLASSSIFICATION RECOMMENDATION LIST

RECOMMENDATION 1

In a person with diabetes and a foot ulcer, as a minimum, use the SINBAD wound classification system for communication among health professionals about the characteristics of the ulcer (strength of recommendation: strong; quality of evidence: moderate)

RECOMMENDATION 2

Be cautious in the application of any of the currently available classification/scoring systems to offer an individual prognosis for a person with diabetes and a foot ulcer (weak; low)

RECOMMENDATION 3

In a person with diabetes and an infected foot ulcer, use the IDSA/IWGDF infection classification to characterise and guide infection management (weak; moderate)

RECOMMENDATION 4

In a person with diabetes and a foot ulcer who is being managed in a setting where appropriate expertise in vascular intervention is available, use WIfI scoring to aid decision making in the assessment of perfusion and likelihood of benefit from revascularisation (weak; moderate)

RECOMMENDATION 5

As a minimum, use the SINBAD system for any regional/national/international audits to allow comparisons between institutions on the outcomes of patients with diabetes and an ulcer of the foot (strong; high)