Hematogenous osteomyelitis and contiguous-focus osteomyelitis are the two major types of bone infections. Both types can progress to a chronic bone infection characterized by large areas of dead bone. Bone, joint, and soft tissues, with the exception of the skin, are normally sterile areas.
What type of infection is osteomyelitis?
Osteomyelitis is a bacterial, or fungal, infection of the bone. Osteomyelitis affects about 2 out of every 10,000 people. If left untreated, the infection can become chronic and cause a loss of blood supply to the affected bone. When this happens, it can lead to the eventual death of the bone tissue.
What are skin and soft tissue infections?
Skin and soft tissue infections (SSTI) are bacterial infections of the skin, muscles, and connective tissue such as ligaments and tendons. Penn Medicine’s SSTI Treatment Clinic provides comprehensive and specialized care, including education, antibiotic treatment and recurrence prevention.
What type of wound is osteomyelitis?
Osteomyelitis, or infection of the bone, is a chronic condition often seen in patients with diabetic foot ulcers. Diagnosis, appropriate antibiotics, and aggressive wound management are necessary in order to prevent toe or foot amputation.
Is osteomyelitis a wound infection?
Osteomyelitis is an infection and inflammation of the bone or the bone marrow. It can happen if a bacterial or fungal infection enters the bone tissue from the bloodstream, due to injury or surgery. Around 80 percent of cases develop because of an open wound.
How quickly does osteomyelitis spread?
Symptoms of Osteomyelitis
Acute osteomyelitis develops rapidly over a period of seven to 10 days.
Is osteomyelitis an emergency?
Osteomyelitis can present to the emergency department as an acute, subacute, or chronic orthopedic concern.
Which antibiotic is best for soft tissue infection?
Background: Bacterial skin and soft tissue infections (SSTIs) have traditionally responded well to treatment with beta-lactam antibiotics (e.g., penicillin derivatives, first- or second-generation cephalosporins) or macro-lides.
How do you know if you have a bacterial skin infection?
Skin Infection Symptoms
- Pus or fluid leaking out of the cut.
- Red skin around the injury.
- A red streak that runs from the cut toward your heart.
- A pimple or yellowish crust on top.
- Sores that look like blisters.
- Pain that gets worse after a few days.
- Swelling that gets worse after a few days.
- A fever.
What are the most common causes of bacterial skin infections in adults?
The most common are Staphylococcus and Streptococcus . Methicillin-resistant Staphylococcus aureus (also known as MRSA ) is a common bacteria causing skin infections in the United States.
What is the most common bone site of osteomyelitis?
Osteomyelitis can be the result of a spreading infection in the blood (hematogenous) and occurs more often in children than adults. In prepubescent children, it usually affects the long bones: the tibia and the femur. The most common site of infection is the metaphysis, which is the narrow portion of the long bone).
What is the best antibiotic for osteomyelitis?
Oral antibiotics that have been proved to be effective include clindamycin, rifampin, trimethoprim-sulfamethoxazole, and fluoroquinolones. Clindamycin is given orally after initial intravenous (IV) treatment for 1-2 weeks and has excellent bioavailability.
What is the most common cause of osteomyelitis?
Most cases of osteomyelitis are caused by staphylococcus bacteria, types of germs commonly found on the skin or in the nose of even healthy individuals. Germs can enter a bone in a variety of ways, including: The bloodstream.
What are the long term effects of osteomyelitis?
Osteomyelitis needs long-term care to prevent complications, such as: Fractures of the affected bone. Stunted growth in children, if the infection has involved the growth plate. Tissue death (gangrene) in the affected area.
What is the best treatment for osteomyelitis?
The most common treatments for osteomyelitis are surgery to remove portions of bone that are infected or dead, followed by intravenous antibiotics given in the hospital.
- Drain the infected area. …
- Remove diseased bone and tissue. …
- Restore blood flow to the bone. …
- Remove any foreign objects. …
- Amputate the limb.
What are the complications of osteomyelitis?
Some of the complications of osteomyelitis include:
- Bone abscess (pocket of pus)
- Bone necrosis (bone death)
- Spread of infection.
- Inflammation of soft tissue (cellulitis)
- Blood poisoning (septicaemia)
- Chronic infection that doesn’t respond well to treatment.