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Antimicrobials
Antibiotics are adjunctive to source control, which is an absolute necessity. This may be accomplished with surgical debridement or percutaneous catheter drainage, depending on the clinical circumstances. Surgery consultation is strongly encouraged.
The goal of source control is to evacuate devitalized or avascular infected material, define microbiology, and assist with determining the duration of antimicrobial therapy.
Lack of source control is defined as ongoing contamination and/or an undrained collection of infection.
