Interventional Radiology Aspiration

1.

Aspirate

• Aspirate involved site confirmed by MRI

• Aspirate contiguous joint if effusion seen on MRI

2. Send specimen in sterile specimen cup:

• Aerobic cultures

• Histopathology

3. Initiate empiric antibiotic

• IV Vancomycin unless otherwise specified by ID consultant

• Await culture results for specific antibiotic selection

4.

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

5.

Physical therapy evaluation for gait training

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