Pressure Ulcer-Related Pelvic Osteomyelitis: A Neglected Disease?

Open Forum Infectious Diseases
Phani BodavulaJ Marschall

Abstract

Background.  Decubitus ulcers can become complicated by pelvic osteomyelitis. Little is known about the epidemiology of pressure ulcer-related pelvic osteomyelitis. Methods.  We performed a retrospective cohort study of adult patients with pressure ulcer and pelvic osteomyelitis admitted to an academic center from 2006 to 2011. Data on clinical presentation, diagnostic evaluation, and treatment during the index admission were collected. Outcome measures included length of hospital stay and number of readmissions in the subsequent year. Results.  Two hundred twenty patients were included: 163 (74%) were para/quadriplegic and 148 (67%) were male (148; 67%). Mean age was 50 (±18) years. Pelvic osteomyelitis was the primary admission diagnosis for 117 (53%). Fifty-six (26%) patients had concurrent febrile urinary tract infection. Wound cultures collected for 113 patients (51%) were notable for methicillin-resistant Staphylococcus aureus (37; 33%), Streptococci (19; 17%), and Pseudomonas spp (20; 18%). Plain films were obtained in 89 (40%) patients, computed tomography scans were obtained for 81 (37%) patients, and magnetic resonance images were obtained for 40 (18%) patients. Most patients received osteomyelitis-directed antibiotic...Continue Reading

References

Feb 1, 1988·Plastic and Reconstructive Surgery·V L LewisR W Hendrix
Oct 5, 2010·American Journal of Surgery·Harold BremBruce Vladeck
Feb 3, 2011·Plastic and Reconstructive Surgery·David L LarsonGuillermo F Carrera

❮ Previous
Next ❯

Citations

Apr 14, 2017·APMIS : Acta Pathologica, Microbiologica, Et Immunologica Scandinavica·Werner Zimmerli, Parham Sendi
Jul 10, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Darren WongBrad Spellberg
Oct 12, 2018·The Cochrane Database of Systematic Reviews·Elizabeth McInnesVannessa Leung
Feb 7, 2020·Geriatrics & Gerontology International·Kazuki M MatsudaShinji Kagami
May 27, 2020·Journal of Bone and Joint Infection·Clark D RussellRebecca K Sutherland
Jan 29, 2020·Acta chirurgica Belgica·Patrik RichtrPetr Přikryl
Feb 3, 2018·Advances in Wound Care·Tatiana V BoykoGeorge P Yang

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsies
ESR

Software Mentioned

SPSS
Access
Excel

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

The International Journal of Lower Extremity Wounds
Olivier LesensWorking Group on Diabetic Osteomyelitis
European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology
S Y LiangJ Marschall
Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Robert E Siegel
Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
E A Rosenfeld, A H Rowley
Clinical Pediatrics
Joel D Klein, Kathleen A Leach
© 2021 Meta ULC. All rights reserved