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Osteomyelitis

Collaborative care of osteomyelitis

QuestionAnswer
What is the treatment of choice for acute osteomyelits Vigorous and Prolonged Intravenous antibiotic therapy
Delaying antibiotic treatment may require what? Surgical debridement and decompression
Patients are often discharged to home care or skilled nursing facility with IV antibiotics delivered via which 2 routes A central venous catheter and/or peripherally inserted central catheter
How long can antibiotic therapy be continued for at home 4 to 6 weeks- 3 to 6 months
Adults with chronic osteomyelitis may be prescribed what for 6 to 8 weeks instead of IV antibiotics Oral therapy + fluoroquinolone (cipro)
How is a patient's response to Osteomyelitis tx monitored Bone scans and ESR tests
Surgical TX for chronic osteomyelitis is: Removal of poorly vascularized tissue and dead bone, extended antibiotic use
After debridement: wound may be closed and a suction irrigation system inserted, intermittent or constant irrigation of affected bone with antibiotics, protection of limb, neg pressure to draw wound together
What adjunct therapy can be provided Hyperbaric oxygen therapy which stimulated circulation and healing
What can be done to provide wound coverage over dead space in bone? Muscle flaps
Bone grafts help do what? restore blood flow
Amputation may be indicated if extensive bone destruction
Examples of long-term and mostly rare complications are septicemia, septic arthritis, pathologic fractures, amyloidosis
Created by: halfpint_86
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