Professional Documents
Culture Documents
Definition: Infection of the bone and surrounding tissues, most commonly caused by
Staphylococcus Aureus. It can be either acute or chronic. This disorder usually occurs
as a result of an infection in one part of the body that is transported through the
bloodstream to a bone in a distant location.
• Hematogenous Osteomyelitis
Incedence
• Acute osteomyelitis is rare in children. It's estimated that one in every 1,000
children under the age of one will develop acute osteomyelitis.
• The condition is even less common in children over one, with one in every 5,000
children affected.
• For example, it's estimated that between 30% and 40% of people with diabetes,
who experience a puncture injury to the foot, will develop osteomyelitis. One in
every 200 people with sickle cell anaemia (a hereditary blood condition) will
develop osteomyelitis in any given year.
Risk Factors
• Trauma
• Diabetes
• Hemodialysis
• Splenectomy
• Advanced age
- ↓Immune function
• Poor circulation
Manifestation
Stages of Osteomyelitis
PATHOPHYSIOLOGY OF OSTEOMYELITIS
Neutrophil
Compensatory
Molecular
Gross/Anatomical
if compensation invasion
Changes:
failsMechanisms
Physical
Changes:
great losses
Vascular
Pus spread
congestion
to vascular channel
Small vessel
Increase intraosseous
thrombosis
pressure
Edema
Decreased blood flow
exudation of polymorphonuclear
inflammation
leukocytes
increased erythrocytes
increased W BC
Bone
Laboratory
Clinical sclerosis
Pathophysiologic
Complications:
Manifestations or( S/S
deformity
Exams: Manifestation ) : on
Increased
Effect
CRP oncompliment
Bodily Function:
reactive Organ
CBC
Multiple proteinFailure
↓ cardiac
Increased
Bone
Death scanoutput
erythrocyte
↓ impaired cellular
sendimentatiion
ESR rate
metabolism
ESR
ischemic
Bone lesion
necrosis
biopsy or culture
systemic infection
lysis of the
Drainage bone
of pus cell the skin
through
infected area
area
Fever
with infection
Pathophysiology
Osteomyelitis tends to occlude local blood vessels, which causes bone necrosis and
local spread of infection. Infection may expand through the bone cortex and spread
under the periosteum, with formation of subcutaneous abscesses that may drain
spontaneously through the skin. In vertebral osteomyelitis, paravertebral or epidural
abscess can develop.
Diagnostic Studies
Management
Medical management for clients with Osteomyelitis are as follows:
• Analgesics as prescribed.
• Antibiotics as prescribes.
Surgery if needed:
• Stop smoking. Smoking slows blood flow to the hands and feet,
making it more difficult for the body to fight infection. Provide your
patient with smoking cessation materials if he needs help.