In 1996 the Dutch Diabetes Federation installed a consensus committee to fo
rmulate practical guidelines for daily practice to prevent. diagnose and tr
eat foot-related complications in patients with diabetes mellitus. A list o
f definitions was formulated. A new ulcer classification was introduced. Pa
thophysiology, diagnostic and therapeutic strategies were discussed with sp
ecial attention for patients with a high risk foot and for prevention instr
uction. After several rounds of implementation the definite document was un
animously accepted in the fall of 1998. (C) 1999 Federation of European Mic
robiological Societies. Published by Elsevier Science B.V. All rights reser
ved.