Osteomyelitls is the most common bone infection of which pathogenic organisms reach the bone by direct extension from neighboring infected soft tissues, through penetrating wounds and open fractures, or by the blood stream.
Hematogenous osteomyelitis...
Osteomyelitls is the most common bone infection of which pathogenic organisms reach the bone by direct extension from neighboring infected soft tissues, through penetrating wounds and open fractures, or by the blood stream.
Hematogenous osteomyelitis, by far the most common type that caused by staphylococcus aureus, is predominantly a disease of infants and children than of adults.
The author analysed pathogenic organisms on the 121 cases of osteomyelitis who had been treated at the Department of Orthopedic Surgery, Chosun University Hospital, during the period of 6 years from Jan. 1974 to Sept. 1980 and the following results were obtained.
1. The sex ratio between the male and female was 2.4:1 and the average age was 26 years old.
2. The most common site of the osteomyelitis was the tibia (40.5%) and the next was the femur(28.1%) and the humerus(14.1%).
3. The most common causative organism was staphylococcus aureus(61.5%), and the next was pseudomonas species(17.0%)
4. The drug of choice for antibiotics on the sensitivity test for the staphylococcus aureus was the cephalosporin and the minocin.
But penicillin and tetracycline were resistant.
5. The gentamicin and dibekacin sulfate were very sensitive antibiotics for the pseudomonas species. Other antibiotics were resistant.
6. Gentamicin, minocin and cephalosporin were very sensitive antibiotics for Escherichia coli. But penicillin, tetracycline and liacocin were resistant.
7. Gentamicin, cephalosporin and minocin were very sensitive antibiotics for the mixed infection.