osteomyelitis Flashcards
1
Q
what is osteomyeltitis
A
inflammation in bone and bone marrow - often bacterial causation
2
Q
haematogenous osteomyelitis
A
pathogen is carried through blood and seeded in bone
most common mode of infection
3
Q
most common cause
A
staph aureus
4
Q
risk factors
A
open # orthopaedic operations esp w prosthetic joints diabetes esp diabetic foot ulcers PAD IVDU immunosuppresion
5
Q
presentation
A
fever
pain + tenderness
erythema
swelling
6
Q
Ix
A
x-ray MRI bloods: WCC, CRP,ESR blood cultures bone cultures
7
Q
management -
A
surgical debridement
antibiotic therapy
8
Q
antibiotics
A
6wks of flucloxacillin
possibly with rifampicin or fusidic acid added for first 2wks
9
Q
alternatives to fluclox: penicillin allergy
A
clindamycin
10
Q
alternatives to fluclox: when MRSA
A
vancomycin or teicoplanin
11
Q
how long antibiotic course for chronic osteomyelitis
A
3+months
