Osteomyelitis

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Osteomyelitis

• Treatment
• Focus antibiotics with good bone penetration
• fucidin, clindamycin, rifampicin, ciprofloxacin
• Surgery

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Peripherally Inserted Central Catheter (PICC) line
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Myth 10

• Amputations from diabetic foot infections are
  inevitable
• WRONG!
• Early, aggressive, empirical and then targeted
  antibiotic treatment can save toes and limbs

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Major Amputations
Percentage of total patients
Year
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Summary

• Diagnosis
• Local signs infection may be absent
• Systemic signs of infection may be absent
• Infection often presents as digital necrosis
• There is a unique microbiology
• Wound swabs/tissues must identify this

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Summary

• Treatment
• Initially, antibiotics should cover gram
  positives, gram negatives and anaerobes
• On follow-up, antibiotics should be targeted
• Surgery is an important treatment for infection
• Osteomyelitis may be treated with antibiotics
  alone
• Amputations for infected feet are not inevitable