Exam 5 - Osteomyelitis (OM)

Question 1

What is a common diagnostic lab value in OM?

Answer 1

Elevated ESR (Erythrocyte Sedimentation Rate)

Question 2

T/F: You do not start therapy in OM until bone biopsy, unless patient is unstable.

Answer 2

TRUE

Question 3

What is the duration of therapy from last debridement?

Answer 3

Minimum of 4 weeks

Question 4

Name empiric therapy for OM.

Answer 4

Vancomycin 30 mg/kg + Pip/Tazo 4.5 g IV Q8H over 4H

-Started after bone cultures are obtained

Question 5

In infected joints, what is empiric therapy?

Answer 5

Same as OM
-Vancomycin + Zosyn

BUT - add Rifampin IF prosthetic joint

Question 6

Name the empiric antimicrobials used for OM.

Answer 6

Vanco + Zosyn