Journal
BRAZILIAN JOURNAL OF INFECTIOUS DISEASES
Volume 18, Issue 5, Pages 526-534Publisher
ELSEVIER BRAZIL
DOI: 10.1016/j.bjid.2013.12.005
Keywords
Osteomyelitis; Bone and joint infection; Soft tissue infection; Infectious diseases
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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. (C) 2014 Elsevier Editora Ltda. All rights reserved.
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