Infection of bones and joints

                                            Rozkydal, Z.

                                 Acute haemotogenous osteomyelitis

•           Causal organism:

    Gram- positive and Gram- negative

    with aerobic or anaerobic metabolism

                                 Acute haemotogenous osteomyelitis

•           Gram +:

•           Staphylococcus aureus in 80 %

    Streptococcus pyogenes

•           Staphylococcus epidermidis

•           Haemofilus influenzae

                                  Acute haemotogenous osteomyelitis

•           Gram - :

•           Escherichia coli

•           Klebsiella

•           Proteus vulgaris

•           Pseudomononas aeruginosa

•           Salmonella, Shigella

•           Clostridium

                                       They way of infection

•           Haematogenous  seeding

    from infection focus in the body



•           Suppurative focus in the vicinity (phlegmona, absces, Batson plexus in urinary tract
infection)



•           Dirrect transport (open fracture)









                                          Laboratory tests

•            Leucocytosis

•            ESR

•            CRP

•            Differential blood test

•            Electrophoresis of proteins

•            Metabolic acdosis

•            Bacteriological examination from the pus

•            Haemoculture







































                                          Septic arthritis

•           Gram +:

•           Staphylococcus aureus

•           Streptococcus pyogenes

•           Staphylococcus epidermidis

•           Haemofilus influenzae

•           Gonococcus

•           Pneumococcus



                                          Septic arthritis

•           Gram - :

•           Escherichia coli

•           Klebsiella

•           Proteus Hauseri

•           Pseudomononas aeruginosa

•           Salmonella

















                                          Laboratory tests

•            Leucocytosis

•            ESR

•            CRP

•            Differential blood test

•            Electrophoresis of proteins

•            Metabolic acdosis

•            Bacteriological examination from the pus

•            Haemoculture