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NCBM317: Week 15

There are three classifications of osteomyelitis: 1) Hematogenous osteomyelitis, which spreads to bone through the bloodstream from another infection site and typically affects the growing skeleton. 2) Contiguous focus osteomyelitis, which results from direct bacterial inoculation via trauma, surgery, or prosthetic devices to an adjacent bone. 3) Osteomyelitis with vascular insufficiency, which occurs in patients with diseases like diabetes that impair blood flow and usually begins as a soft tissue infection that spreads to bone, commonly in the feet.

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Armand Bong Santiago
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99 views2 pages

NCBM317: Week 15

There are three classifications of osteomyelitis: 1) Hematogenous osteomyelitis, which spreads to bone through the bloodstream from another infection site and typically affects the growing skeleton. 2) Contiguous focus osteomyelitis, which results from direct bacterial inoculation via trauma, surgery, or prosthetic devices to an adjacent bone. 3) Osteomyelitis with vascular insufficiency, which occurs in patients with diseases like diabetes that impair blood flow and usually begins as a soft tissue infection that spreads to bone, commonly in the feet.

Uploaded by

Armand Bong Santiago
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ALMIN, RAZELLE S.

Date: MAY 31,2022

BSN3Y2-2

LECTURE

DESCRIBE THE THREE CLASSIFICATIONS OF OSTEROMYELITIS THEN COMPARE AND CONTRAST EACH.

HEMATOGENOUS CONTINGUOS FOCUS OSTEOMYELITIS WITH


OSTEOMYELITIS OSTEOMYELITIS VASCULAR INSUFFICIENCY
DESCRIPTION • Is an infection that usually • Consists of direct inoculation • Infections involving
affects the growing of bacteria via trauma, surgical prosthetic material may
skeleton, involving reduction and internal fixation present later, and with more
primarily the most of fractures, prosthetic subtle findings.
vascularized regions of the
devices, spread from soft-
bone.
tissue infection, spread from
adjacent septic arthritis, or
nosocomial contamination.
MECHANISM • Secondary to bacterial • Bacterial inoculation from an • Infections in patients with
OF BONE transport through the adjacent focus. diabetes affecting the feet,
INFECTION blood. Majority of hanseniasis, or peripheral
infections in children. vascular insufficiency.
EXAMPLES • IV drug use, sickle cell • Posttraumatic Osteomyelitis, • In patients who develop
disease. infections from prosthetic osteomyelitis in the setting
devices of vascular insufficiency,
infection occurs most often
in the small bones of the feet
ETC… • Least common • Most common • Second common
• Seeded from another • After trauma, surgery, • Related to disease such as
source. insertion of hardware. diabetes (predominantly),
• Can occur at any age and with peripheral vascular disease
any bone • Almost always begins with a
soft tissues infection that
spreads to bone.
w

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