Bone and joint infections

Bone and joint infections
Clinical condition Common pathogens Empirical antimicrobial agents Alternative antimicrobial agents Comments
Acute osteomyelitis, septic arthritis S. aureus,
S. pyogenes, Enterobacteriaceae
Inj Vancomycin plus Inj Cefoperazone-sulbactam Piperacillin-tazobactam
or

plus
Clindamycin
Treatment based on culture results. Surgical debridement essential
Chronic osteomyelitis       Definitive therapy based on culture result