Spectrum: Local Antimicrobial Stewardship, for UCLA Health

Osteomyelitis

Criteria

Diagnostic Criteria

Some or all of the following symptoms and findings:

  • Fever

  • Pain

  • Tenderness overlying bone

  • Elevated laboratory indices

  • Deep soft tissues swelling

  • Compatible Radiograph

Initial Management

Keep NPO

Anesthesia and Radiology MUST be notified ASAP to obtain MRI without contrast of involved site

Orthopaedic Staff Decision

  • Musculoskeletal Radiology Aspiration within 24-36 hours OR

  • Aspiration/debridement in OR

Clinical Scenarios

Suspected Sepsis

Aspiration/Debridement in OR

IR Aspiration

Blood Culture Results Positive