Aspiration/Debridement in OR

1.

Aspiration/Debridement

• Incision, irrigation and debridement

• Biopsy

• Culture

• Consult Peds ID

• Begin empiric abx (IV Vancomycin unless otherwise specified by ID consultant) in OR after sample obtained

• Leave drain in place per attending protocol

2.

Observe on antibiotics

• Consider transfer to pediatric service.

• Start CCS Application and consult social work

• Await culture results for specific antibiotic selection

• Repeat CRP every 48 hours

3.

Physical therapy evaluation for gait training

4. Continue IV antibiotic until clinical exam improved, WBC normalized & CRP appropriately down-trending.