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Vol. 14. Issue 3.
Pages 310-315 (May - June 2010)
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Vol. 14. Issue 3.
Pages 310-315 (May - June 2010)
Review article
Open Access
Osteomyelitis: a current challenge
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2853
Luciana Souza Jorge1,2,
Corresponding author
lucianasjorge@uol.com.br

Correspondence to: Rua das Figueiras, 53, Residencial Village Damha I, Mirassol - SP - Brazil CEP: 15130-000.
, Alceu Gomes Chueire3,4, Andréa Regina Baptista Rossit5,6
1 Doctoral student of the Health Sciences Post Graduation Program, Faculdade de Medicina de São José do Rio Preto (FAMERP), São Paulo, Brazil
2 Infectologist of the Hospital Infection Control Service of Hospital de Base, Faculdade de Medicina de São José do Rio Preto (FAMERP), Brazil
3 Professor of the Orthopedics and Traumatology Department, Faculdade de Medicina de São José do Rio Preto (FAMERP), Brazil
4 Head of the Orthopedics and Traumatology Service of Hospital de Base, São José do Rio Preto, São Paulo, Brazil
5 Professor PhD of the Department of Dermatologycal, Infectious and Parasitical Diseases, Faculdade de Medicina de São José do Rio Preto (FAMERP), São Paulo, Brazil
6 Head of the Microbiology Section and responsible for the Research Center for Microorganism Investigations of FAMERP, São Paulo, Brazil
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Abstract

Over the last 30 years, the pathogenesis of osteomyelitis has almost been totally elucidated, and many factors responsible for the persistence of this infection have been identified. Numerous antimicrobial agents with distinct spectrums of action, pharmacokinetics, and pharmacodynamics have been used in its treatment. Surgical techniques, including muscle grafts, the Ilizarov technique, and antibiotic bone cements, have been applied. However, bone infections are still a challenge. Despite the importance of isolation and identification of microorganisms to determine the antimicrobial treatment of bone infections, there are few systematic national studies about the etiological profile of these diseases. This article describes the current knowledge of osteomyelitis and summarizes published national data based on the experience of different Orthopedic and Traumatology Services. In general, S. aureus was described as an important etiological agent; however, the difference in design of national studies makes a comparison between the prevalence of bone infection, the associated risk factors, and the different therapeutic approaches difficult. In conclusion, effort is necessary in order to stimulate systematic national studies in different Orthopedics and Traumatology Services to obtain a better consensus on preventive measures and therapies of bone infections.

Keywords:
osteomyelitis
arthroplasty
S. aureus
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