Protocolo de tratamiento antibiótico de las osteomielitis

  1. Barbero Allende, J.M. 1
  2. García Sánchez, M. 1
  3. Arranz Caso, A. 1
  1. 1 Servicio de Medicina Interna. Hospital Universitario Príncipe de Asturias. Universidad de Alcalá de Henares. Alcalá de Henares. Madrid. España
Zeitschrift:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Datum der Publikation: 2022

Titel der Ausgabe: Enfermedades infecciosas (IV)

Serie: 13

Nummer: 52

Seiten: 3072-3075

Art: Artikel

Andere Publikationen in: Medicine: Programa de Formación Médica Continuada Acreditado

Zusammenfassung

Osteomyelitis is an infectious disease that is difficult to treat and on which there is little scientific evidence. It can be caused by various pathogenic mechanisms and multiple microorganisms. The most commonly involved microorganism is Staphylococcus aureus. Correct identification of the causative agent is essential for guaranteeing the best treatment and, on many occasions, surgical debridement of the affected bone and adjacent tissues is necessary. In general, antibiotics disseminate worse in the bone than in other tissues. Therefore, higher doses and longer treatment durations are needed. Antibiotics that better penetrate this tissue are preferred. There is now sufficient evidence to affirm that shorter treatments with a shorter duration of parenteral administration than what is classically recommended are equally efficacious.

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