Acute Osteomyelitis: treatment
Acute hematogenous osteomyelitis is caused by a germ that comes from the circulatory system and is almost always caused, as confirmed by positive blood cultures, from Staphylococcus aureus. È It is more common in children. For abundant vascular supply places hardest hit by hematogenous osteomyelitis are the metaphysic of long bones. Therapy proximity to osteomyelitis without generalized vascular insufficiency makes use of adequate drainage, debridement and closure of the gaps. Next surgery should not miss a proper antibiotic coverage.
Osteomyelitis by contiguity with generalized vascular insufficiency should determine the status of vascularization, measuring the skin oxygen tension. The interventions of revascularization, but also the hyperbaric therapy, would facilitate the healing of the areas where the oxygen tension is borderline. Depending on the case the patient can be treated with suppressive antibiotic therapy with surgical debridement with local or radical surgery. Hematogenous osteomyelitis requires a correct antibiotic therapy accompanied, if necessary, by some surgical procedures (adequate drainage, appropriate and thorough debridement, closure of dead space, protection of the wound). Antibiotic therapy should be performed on the basis of the pathogen identified. The patient is subjected to appropriate antimicrobial therapy for a period of 4-6 weeks.