osteomyelitis

Question 1

what can osteomyelitis be subclassfied as?

Answer 1

haematogenous osteomyelitis
non-haematogenous osteomyelitis

Question 2

describe haematogenous osteomylitis

Answer 2

results from bacteraemia
usually monomicrobial
most common in children
vertebral osteomyelitis most common form in adultsw

Question 3

what are risk factors for haematogenous osteomyelitis?

Answer 3

sickle cell anaemia
IV drug user
immunosuppression due to medication or HIV
infective endocarditis

Question 4

describe non-haematogenous osteomyelitis

Answer 4

results from contiguous spread of infection from adjacent soft tissues to teh bone
or from direct injury/trauma to bone

often polymicrobial
most common form in adults

Question 5

what are risk factors for non-haematogenous osteomyelitis?

Answer 5

diabetic foot ulcers/pressure sores
diabetes
peripheral arterial disease

Question 6

what is the most common microbiology findings in osteomyelitis?

Answer 6

staph aureus most common

Question 7

what is the common microbiology findings in osteomyelitis in patients with sickle cell anaemia?

Answer 7

non-typhi Salmonella

Question 8

what investigations is needed for osteomyelitis?

Answer 8

MRI is imaging of choice

Question 9

what is the management of osteomyelitis?

Answer 9

6 weeks flucloxacillin

if pen allergic- clindamycin