Question

1. Your patient has chronic osteomyelitis. So how long will the initial treatment of intravenous (IV) antibiotic therapy last?
   1. 4 weeks
   2. 8 weeks
   3. 12 weeks
   4. 6 weeks
   5. 1 week

Answer 1

Osteomylitis is a chronic bone infection .it is very often nowadays. It is present in acute and chronic state.

Acute forms of bone infection are vertebral osteomylitis ,early onset or haematoplastic srthroplasty infection etc ..chronic forms are long bone ,sacral and foot osteomylitis in adults patents often arising secondary bto contagious focus of infection.

Chronic osteomylitis is acquired by direct speed from contagious infection that follows trauma, surgery ,or soft tissue ulceration.

Most of the osteomylitis in adults needs combination of medical and surgical treatment.Here antibiotics therapy is challenging.Rapid initiation of antibiotics therapy is change clinical course unless patient shows specific signs of systemic toxicity. The selection of antibiotics is according to based on the in - vitro susceptibilities of the organisms to cause infection and ability to penetrate bone.

The duration of therapy for acute osteomylitis is 4-8weeks. The optimal duration of therapy for chronic disease is a uncertain, but usually administered for minimum of 6 wks is generally recommended.additional course of antibiotics may be needed iv or orally.

So here option D is the answer. Chronic osteomylitis is needed antibiotics therapy minimum of 6weeks initially.