Resolving Digital Staphylococcal Osteomyelitis Using Bacteriophage-A Case Report

Infections involving diabetic foot ulcers (DFU) are a major public health problem and have a substantial negative impact on patient outcomes. Osteomyelitis in an ulcerated foot substantially increases the difficulty of successful treatment. While literature suggests that osteomyelitis in selected pa...

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Bibliographic Details
Main Authors: Randolph Fish (Author), Elizabeth Kutter (Author), Daniel Bryan (Author), Gordon Wheat (Author), Sarah Kuhl (Author)
Format: Book
Published: MDPI AG, 2018-10-01T00:00:00Z.
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Summary:Infections involving diabetic foot ulcers (DFU) are a major public health problem and have a substantial negative impact on patient outcomes. Osteomyelitis in an ulcerated foot substantially increases the difficulty of successful treatment. While literature suggests that osteomyelitis in selected patients can sometimes be treated conservatively, with no, or minimal removal of bone, we do not yet have clear treatment guidelines and the standard treatment failure fallback remains amputation. The authors report on the successful treatment, with a long term follow up, of a 63 YO diabetic female with distal phalangeal osteomyelitis using bacteriophage, a form of treatment offering the potential for improved outcomes in this era of escalating antibiotic resistance and the increasingly recognized harms associated with antibiotic therapy.
Item Description:2079-6382
10.3390/antibiotics7040087