Open AccessCHRONIC OSTEOMYELITIS;
Author(s) -
Faaiz Ali Shah,
Zahir Khan,
Wahid Ali,
Zulfiqar Ali Durrani
Publication year - 2012
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2012.19.05.2391
Subject(s) - sequestrum , medicine , osteomyelitis , staphylococcus aureus , microbiology and biotechnology , antibiotics , staphylococcus , surgery , bacteria , biology , genetics
Objectives: To determine the causative organism of long bone chronic osteomylitis through culture of the sequestrum. Studydesign: Descriptive case series. Setting and duration: Orthopaedic Surgery Unit, Mardan Medical Complex Teaching hospital, Bacha KhanMedical College, Mardan, KPK, Pakistan from September 2011 to April 2012. Methodology: Twenty five patients with radiologically provenchronic osteomyelitis of long bones who had been free of antibiotic therapy for at least 48 hours, excluding those with diabetic foot, decubitusulcers, and infected implant. At least one specimen of sequestrum was taken from each individual and subjected to complete microbiologicanalysis. Results: Staphylococcus aureus was the most frequently found organism (n=11, 44%), followed by Enterobacteriaceae (n=5, 20%),coagulase-negative staphylococci (n=3,12%) Escherichia coli (n=2, 8%) P aeruginosa (n=1, 4%), Streptococcus species (n=1, 4%) and nogrowth (n=2, 8%).More than one microorganism was isolated in two (8%) patients. Conclusions: Staphylococcus aureus was the mostcommon organism isolated. Sequestrum culture provides accurate identification of causative bacteria.