Recommendations for the treatment of osteomyelitis.

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Recommendations for the treatment of osteomyelitis.

Braz J Infect Dis. 2014 Sep-Oct;18(5):526-34

Authors: Lima AL, Oliveira PR, Carvalho VC, Cimerman S, Savio E, Diretrizes Panamericanas para el Tratamiento de las Osteomielitis e Infecciones de Tejidos Blandos Group

Abstract
With the advances in surgical treatment, antibiotic therapy and the current resources for accurate diagnosis and differentiated approaches to each type of osteomyelitis, better results are being obtained in the treatment of this disease. After a careful literature review carried out by a multiprofessional team, some conclusions were made in order to guide medical approach to different types of osteomyelitis, aiming to obtain better clinical outcomes and reducing the social costs of this disease. Acute and chronic osteomyelitis are discussed, with presentation of the general epidemiological concepts and the commonly used classification systems. The main guidelines for the clinical, laboratory and imaging diagnosis of infections are discussed, as well as the guidelines for surgical and antimicrobial treatments, and the role of hyperbaric oxygen as adjuvant therapy.

PMID: 24698709 [PubMed - indexed for MEDLINE]

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