Resident: Roberts
Date: 5/7/10
Article: Diagnosis and Management of Osteomyelitis
Author: Carek, Peter et al.
Journal: American Family Physician
Volume 63, Number 12
Year: June 15, 2001
Discussion
Osteomyelitis is an inflammation of bone caused by a pyogenic organism. This infection occurs predominantly in children and is often seeded hematogenously. In adults, osteomyelitis is usually a subacute or chronic infection that develops secondary to an open injury to bone and surrounding soft tissue. The specific organism is usually associated with the childs age, or associated with trauma or a recent surgery. Staph. Aureus is associated with acute osteomyelitis. S. Aureus, Psuedomonas Aeruginosa, Serratia Marcescens and Escherichia Coli are associated with chronic osteomyelitis. Osteomyelitis is usually detected through means of clinical and radiographical evaluation and diagnosed using a histopathological and microbiological examination. Acute osteomyelitis is best managed with a four to six week course of antibiotics administered parenterally. Chronic osteomyelitis is generally treated with antibiotics and surgical debridement. In addition to antibiotics, debridement, dead-space management and stabilization of bone may be necessary.
Assessment: I was surprised the article did not mention anything about associations with bisphosphonate therapies in adults
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