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Treatment line for osteomyelitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3391 Questions
Doctor :   Hi
User :   Hello
User :   Good morning
Doctor :   I am Dr. xxxxxx
Doctor :   Good morning
Doctor :   please proceed with your query
User :   i have a question reagarding bone infection
Doctor :   ok
User :   osteomyelitis actually
Doctor :   Ok
User :   The thing is my kid has this and the doctor recommended for blood culture and xrays
User :   From the net i figured out that biopsy is an important part of the diagnosis
User :   However, the doctor is pretty sure that blood culture would suffice
User :   Can i have your opinion on this ?
Doctor :   I would agree with doctor initially
Doctor :   Every treatment has a initial part called empirical treatment
User :   okay
Doctor :   based on the possible cause of infection and the organism that could be involved
Doctor :   Now the doctor puts on certain antibiotic
Doctor :   and waits for the result
Doctor :   after the blood culture
User :   but once the disease is found out, shouldn't we be checking which bacteria/fungi casued it and target that organism ?
Doctor :   If the treatment is not responsive then the biopsy is done
Doctor :   and cultured
User :   he did put him in antibiotics - augmentine for 6 weeks
Doctor :   Since biopsy is causing much pain and suffering to the boy, the doctors do not prefer to do it in the first instance
Doctor :   Yes empirical therapy is augmentin
User :   okay
Doctor :   and blood culture they see if the augmentin is sensitive for the organism or not
Doctor :   Blood C & S
User :   Blood culture is again done after a course of augmentine ?
Doctor :   Is it the blood not drawn now?
Doctor :   for C & S
User :   yes .
Doctor :   That is all
User :   i could not under stand C&S part
Doctor :   C & S is the culture and Sensitivity
Doctor :   report
User :   okay .
User :   One more question. How serious is this disease ?
Doctor :   It is a long term treatment and it is curable if early detected
Doctor :   Hence do not worry
User :   okay.
User :   I guess we detected it in time. thats what the doctor said
User :   He has cuts under the leg and thats i guess is the entry point
Doctor :   Most common organism in children is Staphylococcus which should be sensitive to Augmentin in xxxx
Doctor :   Yeah could be
User :   He was in xxxxx when he got infected
User :   :-)
Doctor :   Ok, did you mention that to the doctor
User :   yes
Doctor :   Ok that is fine, might be it is most common in Gulf too
User :   will he be cured by the end of this 6 weeks treatment ?
User :   or is it just the first stage of treatment ?
Doctor :   The chances of cure are around 90%
Doctor :   I guess it is IV antibiotics
User :   great
User :   thanks for your time doctor
Doctor :   Do you have any more questions?
User :   I guess i should be waiting for the antibiotic course to finish
User :   no . not any more. greatly appreciate your help
User :   thank you
Doctor :   Thank yoiu
Doctor :   Bye for now
User :   Bye
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