Osteomyelitis

Question 1

What is osteomyelitis?

Answer 1

Infection of the bone

Question 2

Sub classifications of osteomyelitis

Answer 2

Haematogenous osteomyelitis

Non-haematogenous osteomyelitis

Question 3

Features of haematogenous osteomyelitis

Answer 3

Results from bacteraemia
Usually monomicrobial
Most common form in children
Vertebral osteomyelitis is most common form

Question 4

Risk factors for haematogenous osteomyelitis

Answer 4

Sickle cell anaemia
IVDU
Immunosuppression due to medication, HIV or Infective endocarditis

Question 5

Features of non-haematogenous osteomyelitis

Answer 5

results from the contiguous spread of infection from adjacent soft tissues to the bone or from direct injury/trauma to bone
is often polymicrobial
most common form in adults

Question 6

Risk factors for non-haematogenous osteomyelitis

Answer 6

diabetic foot ulcers/pressure sores, diabetes mellitus, peripheral arterial disease

Question 7

Management of osteomyelitis

Answer 7

flucloxacillin for 6 weeks

clindamycin if penicillin-allergic