Are sinus-track cultures reliable for identifying the causative agent in chronic osteomyelitis
Ulug M et al. - Study concludes that the value of bone culture in the therapy of osteomyelitis is the only reliable means of determining the responsible agent, upon which the antibiotic therapy is based. Methods- Aim was to determine the diagnostic value and accuracy of cultures of material from a sinus track vs those of cultures of bone specimens
- Between May 2005 and Sept 2006, sinus-track cultures were compared with those of bone cultures from 43 pts with chronic osteomyelitis
Results- Pts’ mean age was 30.6 yrs; 67% male
- Organisms isolated from bone cultures were:
- Staphylococcus 69% (29/42)
- Escherichia coli 9.5% (4/42)
- Pseudomonas aeruginosa 9.5% (4/42)
- Proteus mirabilis 7% (3/42)
- Cultures of sinus track and bone specimens gave identical results in 38% of pts
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