Microbio - wound, bone and joint infections

Question 1

What type of organisms is soft tissue infection usually caused by?

Answer 1

Staph aureus!

(or other staphs and streps/e coli)

Question 2

Investigation for surgical site infection

Answer 2

Wound swab

Question 3

Management for surgical site infection

Answer 3

Flucloxacillin

Oral if quite well

IV if v unwell

Question 4

What is osteomyelitis

Answer 4

Inflammation of the bone

Question 5

Investigation for osteomyelitis

Answer 5

MRI
Blood culture
Bone biopsy

Question 6

Management for osteomyelitis

Answer 6

IV abx (fluclox)

Debridement

(Debridement is the medical removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue)

Question 7

What is septic arthritis

Answer 7

Infection in the joint (synovial) fluid and joint tissues

Question 8

Investigation for septic arthritis

Answer 8

Joint aspirate - MC&S
Blood culture

Question 9

Management for septic arthritis

Answer 9

IV Abx (fluclox)

Drain joint

Question 10

Investigation for prosthetic joint infection

Answer 10

XR/CT/MRI 
Joint aspirate (risk of infx)

Question 11

Management for prosthetic joint infx

Answer 11

IV Abx (fluclox)

Remove prosthesis