Management of Conflict-Acquired Bone Infection

Description

This video segment features a medical discussion led by Deepa Bose and Deborah Mortiboy, focusing on the diagnosis and management of bone infections following combat injuries, particularly after blast injuries and traumatic amputations. Key points include:

- The high incidence of infection and its recurrence associated with severe injuries and metal implants.

- The diagnostic challenges of bone infections, which may not always reflect abnormal lab results, thus requiring a combination of clinical, laboratory, and imaging evidence for accurate diagnosis.

- The importance of taking tissue samples rather than surface swabs to avoid contamination by skin flora.

- A deep dive into the management strategies for bone infections, highlighting that successful treatment often necessitates surgical intervention to remove biofilms and infected tissue.

- The segment also discusses the implications of antibiotic usage, emphasizing the need for targeted antibiotics based on specific pathogens identified through diagnostic microbiology.

- An exploration of various surgical options including limb salvage, external fixation, and the complexities involved in decision-making based on patient factors and the specifics of the injury.

- The necessity for collaboration with plastic surgeons for vascular soft tissue coverage to improve outcomes. Throughout the discussion, the presenters advocate for meticulous surgical practices and proper antibiotic stewardship to enhance recovery and reduce the likelihood of recurrent infections.

DOI: 10.1302/3114-230064

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