The list of treatments mentioned in various sources for Osteomyelitis includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Osteomyelitis may include:
Hidden causes of Osteomyelitis may be incorrectly diagnosed:
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Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.
Some of the different medications used in the treatment of Osteomyelitis include:
The following are some of the latest treatments for Osteomyelitis:
These medical statistics relate to hospitals, hospitalization and Osteomyelitis:
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Treatment for acute osteomyelitis should begin before definitive diagnosis. Treatment includes administration of antibiotics after blood cultures are taken; early surgical drainage to relieve pressure buildup and sequestrum formation; immobilization of the affected bone by plaster cast, traction, or bed rest; and supportive measures, such as analgesics and I.V. fluids.
If an abscess forms, treatment includes incision and drainage, followed by a culture of the drained fluid. Intracavitary instillation of antibiotics may be done through closed-system continuous irrigation with low intermittent suction; limited irrigation with blood drainage system with suction; or local application of packed, wet, antibiotic-soaked dressings.
In addition to these therapies, chronic osteomyelitis usually requires surgery to remove dead bone (sequestrectomy) and to promote drainage (saucerization). The area may be filled with bone graft or packing material to promote new bone tissue. An infected prosthesis is removed and a new one is implanted the same day or after resolution of the infection.
Some centers use hyperbaric oxygen to increase the activity of naturally occurring leukocytes. Free-tissue transfers and local muscle flaps are also used to fill in dead space and increase blood supply.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Treatment varies for acute and chronic osteomyelitis.
Acute osteomyelitis should be treated before a definitive diagnosis. Treatment includes:
❑ administration of large doses of I.V. antibiotics after blood cultures are obtained
❑ early surgical drainage to relieve pressure buildup and sequestrum formation
❑ immobilization of the affected bone by plaster cast, traction, or bed rest
❑ supportive measures, such as administration of an analgesic and I.V. fluids.
If an abscess forms, treatment includes incision and drainage, followed by a culture of the drainage. Antibiotic therapy to control infection may include administration of a systemic antibiotic; intracavitary instillation of an antibiotic through closed-system continuous irrigation with low intermittent suction; limited irrigation with a closed drainage system with suction; or local application of packed, wet, antibiotic-soaked dressings.
With chronic osteomyelitis, surgery is usually required to remove dead bone (sequestrectomy) and to promote drainage (saucerization). The prognosis is poor even after surgery. Patients are usually in great pain and require prolonged hospitalization. Resistant chronic osteomyelitis in an arm or leg may necessitate amputation.
Some facilities also use hyperbaric oxygen to increase the activity of naturally occurring leukocytes.
Free tissue transfers and local muscle flaps are also used to fill in dead space and increase blood supply.
Source: Handbook of Diseases, 2003
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