Chapter 120. Osteomyelitis (Part 6)
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Specific therapy is ultimately based on in vitro susceptibility testing of the organism(s) isolated from bone or blood. Outpatient parenteral antimicrobial therapy (OPAT) is appropriate for motivated and medically stable patients and represents a significant advance in management. Antibiotics that require infrequent dosing, such as ceftriaxone, ertapenem, daptomycin, and vancomycin, may facilitate home therapy, but these choices often have an overly broad spectrum of activity. Fortunately, many antibiotics can be given automatically by means of a portable infusion pump, which decreases the disruption otherwise caused by frequent administration of a drug. Use of a peripherally inserted central catheter (PICC...
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