Emergency Department (ED) suffers from one or more of these problems. Some are resistant to treatment, to become a chronic problem represented in resistant overcrowded ED, and it is a syndrome that needs a holistic ...Emergency Department (ED) suffers from one or more of these problems. Some are resistant to treatment, to become a chronic problem represented in resistant overcrowded ED, and it is a syndrome that needs a holistic view of the problem, then to have a holistic solution, and this needs teamwork to be achieved, so the authors have to consider all these problems and solutions together; and may be more solutions are needed. The author's goal is to reach to effectively running ED, structurally and functionally, locally and internationally.展开更多
Background:Osteomyelitis of the spine is a serious condition that has been increasing with the intravenous drug pandemic and aging population.Multiple different organisms can cause osteomyelitis and mainstay of treatm...Background:Osteomyelitis of the spine is a serious condition that has been increasing with the intravenous drug pandemic and aging population.Multiple different organisms can cause osteomyelitis and mainstay of treatment is early recognition and antibiotics.The course can sometimes be indolent leading to delayed presentations.Once suspected,comprehensive workup and initiation of management should be employed.In rare circumstances,surgical evacuation or deformity correction is indicated.Continued antibiotic treatment should be considered post-operatively.Methods:Emerging treatment solutions are being developed to help target osteomyelitis in a more effective manner.In this review,we highlight the epidemiology and pathophysiology of spinal osteomyelitis.We overview the diagnostic workup and treatment options.Finally,we present new options that are currently being investigated and are on the near horizon.Conclusion:This review offers a user friendly resource for clinicians and researchers regarding osteomyelitis of the spine and will serve as a catalyst for further discovery.展开更多
文摘Emergency Department (ED) suffers from one or more of these problems. Some are resistant to treatment, to become a chronic problem represented in resistant overcrowded ED, and it is a syndrome that needs a holistic view of the problem, then to have a holistic solution, and this needs teamwork to be achieved, so the authors have to consider all these problems and solutions together; and may be more solutions are needed. The author's goal is to reach to effectively running ED, structurally and functionally, locally and internationally.
文摘Background:Osteomyelitis of the spine is a serious condition that has been increasing with the intravenous drug pandemic and aging population.Multiple different organisms can cause osteomyelitis and mainstay of treatment is early recognition and antibiotics.The course can sometimes be indolent leading to delayed presentations.Once suspected,comprehensive workup and initiation of management should be employed.In rare circumstances,surgical evacuation or deformity correction is indicated.Continued antibiotic treatment should be considered post-operatively.Methods:Emerging treatment solutions are being developed to help target osteomyelitis in a more effective manner.In this review,we highlight the epidemiology and pathophysiology of spinal osteomyelitis.We overview the diagnostic workup and treatment options.Finally,we present new options that are currently being investigated and are on the near horizon.Conclusion:This review offers a user friendly resource for clinicians and researchers regarding osteomyelitis of the spine and will serve as a catalyst for further discovery.