Osteomyelitis. A commonsense approach to antibiotic and surgical treatment.

Abstract:

:Therapy for osteomyelitis requires a multidisciplinary approach. A precise microbiologic diagnosis and adequate debridement of necrotic tissue are essential. Acute hematogenous osteomyelitis usually responds to antimicrobial therapy. The presence of an abscess or a metaphyseal cavity in hematogenous osteomyelitis and evidence of spinal cord compression in vertebral osteomyelitis require surgical treatment. Chronic osteomyelitis usually implies that dead bone is present, which requires surgical debridement. Because of the chronicity of the infection and various presentations and surgical approaches, antibiotic treatment must be individualized. In general, however, at least 4 weeks of therapy is required.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Bamberger DM

subject

Has Abstract

pub_date

1993-10-01 00:00:00

pages

177-82, 184

issue

5

eissn

0032-5481

issn

1941-9260

journal_volume

94

pub_type

杂志文章,评审
  • Clinical workup of fatty liver for the primary care provider.

    abstract::Nonalcoholic fatty liver disease (NAFLD) is quickly emerging as a global epidemic in parallel with the rise in obesity and the Metabolic Syndrome. NAFLD, once seen simply as a passive consequence of the Metabolic Syndrome (MetS), has been found to interact with other features of MetS to exacerbate insulin resistance, ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.2019.1546532

    authors: Jensen T,Wieland A,Cree-Green M,Nadeau K,Sullivan S

    更新日期:2019-01-01 00:00:00

  • Thyroid dysfunction in the severely ill and elderly.

    abstract::Preview Manifestations of thyroid dysfunction may be totally misleading in severely ill and elderly patients, often confounding clinical diagnosis. To prevent undue morbidity and mortality in these patients, appropriate selection and accurate interpretation of thyroid function tests are crucial. In this article, Dr Is...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1993.11945709

    authors: Isley WL

    更新日期:1993-09-01 00:00:00

  • Surgery in the elderly. Lowering risks by understanding special needs.

    abstract::Elderly patients should be evaluated closely before surgery. Problems commonly found in these patients (ie, hypertension, diabetes, and cardiac and pulmonary disease) should be sought with special care and treated before surgery is undertaken. Also, wound healing may be compromised, drug clearance and metabolism impai...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1992.11701206

    authors: Nolan TE

    更新日期:1992-02-01 00:00:00

  • Office gynecology. Diagnostic survey of the infertile couple.

    abstract::The diagnostic survey of the infertile couple usually takes about three months. After semen analysis, the husband is referred for general and urologic examination. The wife is given a general physical and pelvic examination and returns during the next two months for ovulation studies. Tubal patency tests are also perf...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1977.11714654

    authors: Cohen MR

    更新日期:1977-10-01 00:00:00

  • Thyroid screening.

    abstract::Preview The ultrasensitive third-generation assay for thyrotropin (TSH) is now the "gold standard" for measuring thyroid activity. Who should be screened with it, and what further studies should be done if results are abnormal? Which patients with subclinical disease should receive treatment? Drs Brody and Reichard di...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1995.11946028

    authors: Brody MB,Reichard RA

    更新日期:1995-08-01 00:00:00

  • Evaluation of the bleeding patient.

    abstract::The evaluation of the bleeding patient starts with the integration of data from the history and physical examination. From this results either one probable explanation that can easily be substatniated by laboratory studies or, as more commonly occurs in practice, several possibilities that are reasonable and must be i...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1977.11712257

    authors: Marengo-Rowe AJ,Leveson JE

    更新日期:1977-07-01 00:00:00

  • Reducing cardiovascular risk: trends in risk, risk assessment, and cholesterol management.

    abstract::The rate of decrease in coronary heart disease (CHD) mortality in the United States has slowed, probably in association with the aging of the population and the increasing rates of obesity, metabolic syndrome, and diabetes. Worldwide, guidelines for reducing risk of CHD and lowering lipid levels must continue to evolv...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.09.2004.suppl34.206

    authors: Davidson MH

    更新日期:2004-09-01 00:00:00

  • Adolescent sexual intercourse. Strategies for promoting abstinence in teens.

    abstract::As sex, drugs, and rock 'n' roll have given way to STDs, HIV, and AIDS, adolescent sex has become an increasingly high-risk behavior. Dr Kay strongly believes that primary care physicians can have a prominent role in educating teens and their parents about the consequences of premature sexual activity and in promoting...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Kay LE

    更新日期:1995-06-01 00:00:00

  • Peripheral neuropathy in patients with chronic renal failure. A treatable source of discomfort and disability.

    abstract::Uremic polyneuropathy occurs in about half of patients undergoing dialysis and is characterized by axonal degeneration with secondary segmental demyelination. Hemodialysis or peritoneal dialysis halts the progress of polyneuropathy but usually does not bring improvement. However, improvement invariably occurs with suc...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.1997.10.344

    authors: Pirzada NA,Morgenlander JC

    更新日期:1997-10-01 00:00:00

  • Are tolerability concerns a class effect of beta-blockers in treating patients with hypertension?

    abstract::Beta-blockers (beta-blockers) have demonstrated their value across the cardiovascular disease spectrum. Beta-blockers effectively lower blood pressure in patients with hypertension and provide symptomatic or mortality benefits in patients with heart failure and in post-myocardial infarction patients. However, despite ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2009.01.1951

    authors: Kountz DS

    更新日期:2009-01-01 00:00:00

  • Contemporary therapy for acne. What, when, and how to prescribe.

    abstract::The use of topical tretinoin (Retin-A) for comedonal lesions, benzoyl peroxide for inflamed papules and pustules, and topical or oral antibiotics for more severe or widespread disease gives excellent results for the majority of patients with acne. At present, oral isotretinoin (13-cis-retinoic acid) (Accutane) should ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1985.11698996

    authors: Greer KE

    更新日期:1985-05-01 00:00:00

  • Atopic dermatitis: clinical and immunologic aspects and treatment.

    abstract::Atopic dermatitis is a chronic disease marked by exacerbations and remissions. It begins in early infancy and may persist into late adulthood. Flares of dermatitis may be precipitated by emotional stess, extremes or sudden changes in humidity or temperature, and other factors. Treatment consists primarily of the use o...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1978.11714996

    authors: Kaplan RJ,Rosenberg EW

    更新日期:1978-12-01 00:00:00

  • Dysphagia. A practical approach to diagnosis.

    abstract::Our diagnostic approach to a patient with dysphagia begins with detailed history taking and physical examination. On the basis of findings, a radiographic and/or endoscopic study of the esophagus is done. We usually have barium-swallow radiography done initially, and if the radiographs are equivocal, upper gastrointes...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1992.11701537

    authors: Yang RD,Valenzuela JE

    更新日期:1992-11-15 00:00:00

  • Otitis media reassessed.

    abstract::Preview Management of otitis media in children is a controversial matter: The basic questions of why, in whom, and how it should be treated are undergoing continual reassessment. In this article, Drs Shapiro and Bluestone provide answers to these and other questions, such as Why is treatment of acute otitis media just...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1995.11945992

    authors: Shapiro AM,Bluestone CD

    更新日期:1995-05-01 00:00:00

  • One-stage posterior approach for treating multilevel noncontiguous thoracic and lumbar spinal tuberculosis.

    abstract:OBJECTIVES:Multilevel noncontiguous thoracic and lumbar spinal tuberculosis (MNST) is a relatively rare entity. The objective of this retrospective study was to investigate whether a technique involving a one-stage posterior debridement and decompression, combined with an intervertebral fusion and posterior instrumenta...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.2019.1552824

    authors: Chen RS,Liao X,Xiong ML,Chen FR,Wang BW,Huang JM,Chen XL,Yin GH,Liu HY,Jin DD

    更新日期:2019-01-01 00:00:00

  • The long-term prognostic significance of heart failure in sarcoidosis patients ─ a cohort study.

    abstract:OBJECTIVE:To evaluate the proportion and the long-term prognostic significance of heart failure (HF) in sarcoidosis patients. METHODS:Data extracted from a large Israeli healthcare provider's database were used to study sarcoidosis patients and matched non-sarcoidosis controls since 2000 to 2016. The proportion of HF ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.2020.1832773

    authors: Etinger R,Comaneshter D,Amital H,Cohen AD,Tiosano S

    更新日期:2020-11-01 00:00:00

  • Gastroesophageal reflux.

    abstract::Preview Although heartburn is the most common symptom of gastroesophageal reflux, many patients with reflux have other, more obscure manifestations. Recognition of all potential signs and symptoms of reflux is important for expeditious management. This article focuses on these atypical presentations and discusses how ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1996.11946110

    authors: Barr LL

    更新日期:1996-04-01 00:00:00

  • Site-specific techniques of joint injection. Useful additions to your treatment repertoire.

    abstract::Joint and soft-tissue aspiration and injection procedures are relatively easy to master once the physician has acquired an understanding of the techniques and subtleties of performing these procedures at certain sites. These techniques can be used to diagnose and treat many painful joint and soft-tissue conditions and...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.2001.03.879

    authors: Rifat SF,Moeller JL

    更新日期:2001-03-01 00:00:00

  • Adjunctive aripiprazole, olanzapine, or quetiapine for major depressive disorder: an analysis of number needed to treat, number needed to harm, and likelihood to be helped or harmed.

    abstract:OBJECTIVE:To describe the efficacy and safety of adjunctive aripiprazole, olanzapine, and quetiapine for major depressive disorder. DATA SOURCES:Published registration study reports, supplemented by clinical trial synopses as disclosed by manufacturers and product labeling. STUDY SELECTION:All available reports of st...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2010.07.2174

    authors: Citrome L

    更新日期:2010-07-01 00:00:00

  • Using anticoagulants safely. Guidelines for therapeutic and prophylactic regimens.

    abstract::Heparin and warfarin sodium (Coumadin, Panwarfin, Sofarin) are used most often to treat acute and recurrent venous thromboembolic disease, arterial disease, valvular heart disease, and atrial fibrillation. These agents along with dextran, pneumatic compression devices, and gradient stockings are also used to prevent d...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1991.11700985

    authors: Dhami MS,Bona RD

    更新日期:1991-07-01 00:00:00

  • Pediatric poisoning the first 30 minutes.

    abstract::Two distinct subpopulations in the pediatric age-group are particularly at risk for poisoning, and the substances likely to be ingested by each group differ. The method of critical care given here incorporates consideration of specific types of poisoning into an overall plan of general diagnostic and therapeutic measu...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1982.11716152

    authors: Driggers DA

    更新日期:1982-08-01 00:00:00

  • Clinical and economic outcomes in respiratory tract infections: The impact of bacterial resistance.

    abstract::Drug acquisition cost is an important component in the analysis of economic and clinical outcomes in the treatment of respiratory tract infections (RTIs). However, bacterial resistance has emerged as a crucial variable that must also be considered. Drug-resistant infections result in more expensive drug therapy, longe...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.09.2002.suppl19.100

    authors: Rapp RP

    更新日期:2002-09-01 00:00:00

  • Hip problems in children. Aids to early recognition.

    abstract::Awareness of the age at which various pediatric hip disorders present and familiarity with their characteristics greatly aid in early detection. A properly performed physical examination is still the mainstay of early diagnosis. The earlier a hip disorder is discovered and treated, the less the chance of lasting harm ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1984.11698744

    authors: Gross RH

    更新日期:1984-09-15 00:00:00

  • Coronary revascularization in multivessel disease. Which is better, stents or surgery?

    abstract::Coronary artery disease (CAD) remains the major cardiovascular health issue in contemporary clinical practice. Treatment options for multivessel CAD include medical therapy, percutaneous coronary intervention (PCI), and coronary artery bypass grafting (CABG). Here, the authors review the most recent data that compare ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2005.12.1670

    authors: Almeda FQ,Snell RJ

    更新日期:2005-12-01 00:00:00

  • Intractable diarrhea of infancy. An alternative treatment strategy.

    abstract::Prolonged diarrhea in an adult is a serious problem; in an infant it is life threatening. Conventional therapy for intractable diarrhea of infancy, which involves use of clear liquids and gradual reintroduction of cow's milk or formula, works in most situations. However, for some infants this type of management exacer...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1983.11698385

    authors: Lebenthal E,Rossi TM

    更新日期:1983-08-01 00:00:00

  • AIDS update.

    abstract::Acquired immunodeficiency syndrome (AIDS) is a new and frightening epidemic. Epidemiology has clearly delineated the mechanisms of spread as sexual intercourse, transfer of blood, and vertical transfer from infected mother to newborn child. Although much remains to be answered about infection with the AIDS virus, pres...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1989.11700636

    authors: Scutchfield FD,Benenson AS

    更新日期:1989-03-01 00:00:00

  • Chronic neck and shoulder pain. Focusing on myofascial origins.

    abstract::Chronic neck and shoulder pain is a complex, multifactorial problem. Often many months have passed since its onset. During this time the patient may have seen many physicians and tried many medications, some with abuse potential. Most patients are depressed and have lost their ability to cope with the stresses of dail...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1985.11698897

    authors: Grosshandler SL,Stratas NE,Toomey TC,Gray WF

    更新日期:1985-02-15 00:00:00

  • Hoarseness. From viral laryngitis to glottic cancer.

    abstract::Hoarseness indicates an abnormality at the level of the glottis. This symptom may result from either structural or physiologic disorders. The differential diagnosis is lengthy and includes both benign and malignant diseases. History taking and physical examination, particularly laryngeal visualization, provide key clu...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:

    authors: Dettelbach M,Eibling DE,Johnson JT

    更新日期:1994-04-01 00:00:00

  • Health benefits of aerobic exercise.

    abstract::Regular aerobic exercise has significant cardiovascular benefits, including a reduction in incidence of and mortality from coronary artery disease--probably because of positive effects on blood lipid levels and blood pressure. Aerobic exercise can also be an important adjunct to a weight-loss program. Many persons who...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1991.11700983

    authors: Mersy DJ

    更新日期:1991-07-01 00:00:00

  • Bleeding esophagogastric varices. Ways to treat active episodes and prevent recurrence.

    abstract::Bleeding from esophagogastric varices carries a high mortality rate. Active variceal bleeding can usually be temporarily controlled medically with a combination of intravenous vasopressin and nitroglycerin, with balloon tamponade, or with endoscopic sclerotherapy. Because of the high likelihood of recurrence, long-ter...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1991.11700924

    authors: Marshall JB

    更新日期:1991-05-01 00:00:00