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00. Empirical Antibiotics > Bone and Joint Infections > Flashcards

Flashcards in Bone and Joint Infections Deck (4)
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1

What should you think about in septic arthritis/osteomyelitis?

Consider underlying metal work (may need replacement)
Recent surgery
Risk factors for MRSA (may need vancomycin)
Consider orthopaedic referral

2

Which antibiotics would you use for septic arthritis/osteomyelitis in native joints?

What if the patient had a true penicillin allergy?

For how long?

IV flucloxacillin, PLUS
IV gentamicin

In penicillin allergy: IV vancomycin PLUS IV gentamicin

Duration: depends on surgical intervention; usually 4-6 weeks

3

Which antibiotics would you use for septic arthritis/osteomyelitis in prosthetic joints?

For how long?

IV vancomycin, PLUS
IV gentamicin

Duration: depends on surgical intervention; usually 4-6 weeks

4

Which antibiotics would you use for diabetic foot osteomyelitis?

For how long?

IV flucloxacillin, PLUS
IV gentamicin, PLUS
Oral metronidazole

4-6 weeks