How to treat acute osteomyelitis

The key to successful treatment of acute osteomyelitis is early diagnosis and treatment according to osteomyelitis, which requires timely application of effective antibiotics and timely surgical treatment if necessary. There are three parts: 1. systemic supportive treatment: strengthening systemic nutrition, including symptomatic treatment, for example, when high fever requires cooling, rehydration, correction of acidosis, if necessary, a small number of blood transfusions, through these treatments, mainly to enhance the patient’s resistance, while giving an easily digestible diet containing more protein and vitamins; 2. application of antibacterial drugs: the principle of antibacterial drugs is to take effective, combined, adequate, full course of antibiotics. Adequate, full course of antibiotics, if high fever, blood culture can be cultured bacteria, or the case of secretions, you can take secretions to do bacterial culture, there are culture results, according to the culture results to choose antibiotics, is the most ideal, if not, only according to experience, generally speaking, the medication cycle will be longer, need to medication 4-7 weeks, first intravenous infusion for 3 weeks, and then switch to oral for 3 weeks, wait until After the body temperature is normal, including laboratory tests of white blood cell count, blood sedimentation, C-reactive protein are back to normal, and the symptoms and signs have disappeared, the medication will be stopped 2 weeks later. At the same time can be combined with the internal and external use of Chinese medicine, such as Chinese medicine, osteoinflammatory Tongluo pill oral, external use of osteoinflammatory cream; 3, local treatment: you can use splints, casts or skin traction for braking, need to elevate the affected limb, and maintain the functional position, in case of stiffness, can be stiff in the functional position, to prevent the occurrence of deformity and pathological fractures, conducive to the inflammation of the subside. If antibiotic treatment for 2-3 days still cannot be controlled, surgery is needed promptly, which is mainly drilling and decompression, or open window decompression.