Content:
Overview
Content on this page:
Overview
Content on this page:
Overview
Overview
Osteomyelitis is an acute or chronic inflammation of the bone due to an infection resulting from hematogenous spread, contiguous spread from soft tissues and joints to bone, or direct inoculation into bone from surgery or trauma.
Signs and symptoms of osteomyelitis include fever; inflammatory findings of erythema, warmth, pain and swelling over the involved area; draining sinus tracts over affected bone; limited movement of affected extremity; pain in the chest, back, abdomen or leg, and tenderness over involved vertebrae in patients with vertebral osteomyelitis; anorexia, vomiting and malaise.
Diagnosis of osteomyelitis with the help of eliciting predisposing factors in the history (eg. vasculopathy, diabetes mellitus [DM], invasive procedures, etc.), physical examination findings, laboratory tests (eg bacterial culture, bone biopsy, etc.), and imaging.
Factors to consider when choosing an antibiotic for empiric therapy include the suspected pathogens and their antimicrobial susceptibility pattern, age of patient, severity of infection, history of recent antibiotic intake, current Gram stain results, underlying co-morbid conditions, and antibiotic safety and efficacy.
For further information regarding the management of Osteomyelitis, please refer to Disease Algorithm for the Treatment Guideline.
Signs and symptoms of osteomyelitis include fever; inflammatory findings of erythema, warmth, pain and swelling over the involved area; draining sinus tracts over affected bone; limited movement of affected extremity; pain in the chest, back, abdomen or leg, and tenderness over involved vertebrae in patients with vertebral osteomyelitis; anorexia, vomiting and malaise.
Diagnosis of osteomyelitis with the help of eliciting predisposing factors in the history (eg. vasculopathy, diabetes mellitus [DM], invasive procedures, etc.), physical examination findings, laboratory tests (eg bacterial culture, bone biopsy, etc.), and imaging.
Factors to consider when choosing an antibiotic for empiric therapy include the suspected pathogens and their antimicrobial susceptibility pattern, age of patient, severity of infection, history of recent antibiotic intake, current Gram stain results, underlying co-morbid conditions, and antibiotic safety and efficacy.
For further information regarding the management of Osteomyelitis, please refer to Disease Algorithm for the Treatment Guideline.
