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September 8, 2026Infectious Disease ReportsOpen Access

The Role of Infrared Thermography in the Diagnosis and Monitoring of Diabetic Foot Infection: A Systematic Review

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Authors

CCCarmen Cantarero-LozanoATAroa Tardáguila‐GarcíaEGEsther García‐Morales

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Overview

Systematic review reveals elevated skin temperature detects diabetic foot infection in patients with diabetes, suggesting utility for early diagnosis rather than ongoing monitoring.

Key Points

  • To evaluate the diagnostic and monitoring utility of infrared thermography for diabetic foot infection.
  • Conducted a systematic review following PRISMA guidelines, appraising methodological quality with QUADAS-2 and Joanna Briggs Institute critical appraisal checklists.
  • Included six original studies (four observational and two pilot studies) encompassing 552 participants diagnosed with type 1 or type 2 diabetes mellitus.
  • Elevated local skin temperature was consistently linked to acute diabetic foot infection, with multiple studies identifying a contralateral temperature difference of approximately 2.2 °C as a clinically relevant diagnostic threshold.
  • Plantar thermal asymmetry demonstrated no statistically significant association with the severity or healing progression of infected diabetic foot ulcers.
  • All six reviewed studies demonstrated a level of evidence of 4 and received a grade of recommendation of C.

Cite This Study

Cantarero-Lozano et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd7c658e84d0ff5b46bb3https://doi.org/10.3390/idr18050098
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