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Suffering With Parkinson's, Have Prosthetic Hip Joint Infection, On Flucloxacillin, Has Oozing From The Wound. Treatment Options?
My uncle is a 75 year old man with a prosthetic hip joint infection. He takes flucloxacillin as prophylaxis (as has been doing so for the last 8 years) His would is oozing for the last few months (Is this a sinus tract?) He also suffers form parkinsons disease and type 2 diabetes so is not a canditate for surgery. Only a surface swab of the wound was taken which did not grow any bugs. What are the options now? Does he need to have a synovial fluid aspirate taken so that cultures can be performed and antibiotics switched. Is that an invasive proceedure? Thanks for you help Tricia
Thu, 18 Apr 2013
Local synovial fluid aspiration culture and suitable antibiotic, Xray/Ct scan for position of prostheses and surrounding bone. After control of infection,diabetes Get re-evaluation by hip surgeon.
As a first step debridement of unhealthy tissue under local or regional anesthesia can be done if infection is controlled by anti-biotic after C/S of aspirate.
>Infected and loosened prosthesis means removal and total hip replacement after control of infection,
As he can't undergo surgery , some salvage method has to be worked out by your Doc.
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As a first step debridement of unhealthy tissue under local or regional anesthesia can be done if infection is controlled by anti-biotic after C/S of aspirate.
>Infected and loosened prosthesis means removal and total hip replacement after control of infection,
As he can't undergo surgery , some salvage method has to be worked out by your Doc.
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