最近审阅: 25 十月 2020
最近更新: 24 五月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 感染部位的非特异性疼痛
  • 不适感和疲劳
  • 局部炎症、红斑或肿胀
  • 低热
  • 存在的危险因素

其他诊断因素

  • 伤口引流
  • 疤痕、以前的皮瓣
  • 活动范围缩小
  • 糖尿病足溃疡时感觉能力减弱
  • 尿路症状
  • 斜颈
  • 肢体畸形
  • 叩诊压痛

危险因素

  • 穿透伤
  • 手术污染
  • 静脉注射药物滥用
  • 糖尿病
  • 牙周炎

诊断性检查

首要检查

  • 白细胞计数
  • 红细胞沉降率 (ESR)
  • C 反应蛋白 (CRP)
  • 受累部位的 X 线平片
更多 首要检查

需考虑的检查

  • 超声
  • 骨骼 MRI
  • CT 扫描
  • 放射性核素扫描
  • 组织学
更多 需考虑的检查

治疗流程

急性处理
进行中

撰稿人

Senior Clinical Fellow in Limb Reconstruction

The Bone Infection Unit

Nuffield Orthopaedic Centre

Oxford University Hospitals Foundation NHS Trust

Oxford

UK

利益声明

JF received a research grant in 2013 from Bonesupport AB, Lund, Sweden to collect data for a study on antibiotic carriers in osteomyelitis treatment.

Consultant in Infectious Diseases and Microbiology

Buckinghamshire Healthcare NHS Trust

Aylesbury

UK

利益声明

THNW declares that he has no competing interests.

Consultant

Infectious Diseases, Microbiology and Bone Infection

Oxford University Hospitals NHS Foundation Trust

Oxford

UK

利益声明

BLA declares that she has no competing interests.

Consultant in Limb Reconstruction

The Bone Infection Unit

Nuffield Orthopaedic Centre

Oxford University Hospitals Foundation NHS Trust

Oxford

UK

利益声明

MM received a research grant in 2013 from Bonesupport AB, Lund, Sweden to collect data for a study on antibiotic carriers in osteomyelitis treatment.

Dr Jamie Ferguson, Dr Tse Hua Nicholas Wong, Dr Bridget L. Atkins, and Dr Martin McNally wish to gratefully acknowledge Dr Jason H. Calhoun, Dr Nalini Rao, and Dr M. M. Manring, previous contributors to this topic. JHC, NR, and MMM declare that they have no competing interests.

同行评议者展开全部内容

Assistant Professor

Infectious Diseases

Bayview Medical Center

Baltimore

MD

利益声明

KJ declares that she has no competing interests.

Associate Professor

Department of Infectious Diseases

University of Naples

Naples

Italy

利益声明

SE has been reimbursed for attending several conferences and received fees for speaking and running educational programs by Pfizer, Novartis, Wyeth Lederle, Sanofi Aventis, and GSK.

Professor of Medicine

Infectious Diseases Division

University of Connecticut Health Center

Hartford

CT

利益声明

EP declares that he has no competing interests.

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