How Can I Manage Bone and Joint Infections?
A combination of surgery and antibiotic therapy is often necessary:
- Surgical debridement of necrotic material.
- Antibiotic therapy based on cultures and sensitivities to antibiotics; therapy with antibiotics is a lengthy process, until the bone has been re-covered by soft tissue that has a good blood supply.
- Hyperbaric oxygen chamber in patients who do not respond in a timely fashion.
- Antibiotics: Based on Gram stain and culture and sensitivities derived from synovial fluid aspiration. Duration is typically at least a month: 2 weeks of intravenous antibiotics, followed by oral antibiotics for another 2 weeks.
- Joint drainage: This is beneficial in that it is analogous to drainage of any persistent, closed abscess. In some joints, arthroscopy guidance (knee, shoulder, wrist) or open surgical drainage (hip) may be required.