ACTA FAC. MED. NAISS. 2004; 21 (4):245-252

    Review article
       

BONE INFECTIONS AND ANTIBIOTICS USE IN ORTHOPAEDICS

 

Gordana Soldatović1, Saša Milenković1, Milorad Mitković1, Marko Bumbaširević2, Dušan Anđelović1, Dragana Milić1

1Orthopaedics and traumatology Clinic-Niš
2Orthopaedics and traumatology Institute-Belgrade

    SAŽETAK

    Bone infections are always a burning issue in orthopedic surgery. The treatment of bone infections is very complex, long-lasting, persistent and expensive, often followed by permanent invalidity. Modern approach to treatment of bone infections is based on surgical interventions, use of antibiotics, immunologic treatment and rehabilitation. The significance of the antibiotics is great in therapy and prophylaxis of bone infections. Antibiotic therapy is used taking into account the causes of the illness and its sensitivity to certain antibiotic. The most common cause of bone infection is Staphylococcus aureus. The choice of antibiotic therapy can be made concerning several important factors: age of the patient, chronical diseases, type of the injury, the period of time between the injury and hospitalization, the duration of the operation, surgical technique used, operation room. Only the unity of surgical, antibiotic, immunologic and physical therapy can provide efficient management of bone infections.

    Key words: bone infection, antibiotics