In: Nursing
Case Scenario: A 65-year-old man presents at the ER with a high temperature, extreme pain in his right hip, and an open wound at the site of the pain. He had a hip replacement seven days ago without incident. The doctor asks for a culture of the wound drainage, x-ray, and immediate admittance to an ICU. Diagnosis is osteomyelitis.
Ans-
Osteomyelitis is an the infection of bone. Infections can reach to a bone by traveling through the bloodstream and spread from the nearby tissue. Osteomyelitis can be also begin in the bone itself by injury exposes the bone to the germs.
Risk Factor-
The annual incidence of osteomyelitis are adjusted for age and sex, was 21.8 cases per 100,000 population. The annual incidence rate in men is higher than in women.and incidence of this increases with age.
Your bones are normally resistant to the infection. For osteomyelitis to occur, a situation that makes your bone the vulnerable must be present.
1)Recent injury or orthopedic surgery
2)A severe bone fracture or a deep puncture wound gives infections a route to enter your bone or nearby tissue.
3)Surgery to repair broken bones or replace worn joints also can accidentally open a path for germs to enter a bone.
4)Deep animal bites also can provide a pathway for infection.
5)When the blood vessels are damaged or blocked, your body has trouble in the distributing the infection fighting cells and needed to keep a small infection from growing larger.a small cut can progress to the deep ulcer that may expose deep tissue and bone to infection.
6)Poorly controlled diabetes.
7)Peripheral arterial disease, often related to smoking.
8)Sickle cell disease have risk for osteomyelitis.
9)Problems requiring intravenous lines or catheters.
10)There are a number of conditions that require the use of medical tubing to connect the outside world with your internal organs. However, this tubing can also serve as a way for germs to get into your body, increasing your risk of an infection in general, which can lead to osteomyelitis.
11)If your immune system is the affected by a medical condition or some medication, you have a greater risk of osteomyelitis.