Running Head: OSTEOMYELITIS Osteomyelitis Osteomyelitis can be termed as a bone disease caused by infection that is specifically characterized by acute or persistent swelling of the bone and its sub-classification can be done on the basis of pyogenic organisms which provoke the formation of pus…
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Various types of osteomyelitis are there and some are more prone to strike children like hematogenous osteomyelitis while direct trauma and contiguous focus osteomyelitis are more likely to be found in adults (King & Johnson, n.d.). Epidemiological Overview Process Ostermyelitis is a disease associated with bones. It is an infection that affects the bones and which occurs as a result of bacteria or other germs. Fungi can also cause this disease. Bacteria can spread to a bone in various manners. Skin that is suffering from infection can spread bacteria to a bone. Bacteria can also reach the bone from muscles or tendons that are placed near the bone. This disease can also happen under a skin sore. The infection can actually happen in any area of the body and from that area the infection can be carried to the bone by blood. There is another way this infection can start and that is from complications arising from surgery of the bone. The risk of this infection tends to gets more likely if the surgery is done after there is an injury. Infection can also happen from metal rods and plates that are placed in the bone to fix fracture of the bone. In case of children, this disease more often occurs in the long bones of the arms or legs which give strength and provides mobility. Acute hematogenous osteomyelitis can mostly be seen in children. Direct trauma and contiguous focus osteomyelitis affect mostly adults and adolescents. (Osteomyelitis, 2012) Morbidity of the disease can be substantial. The infection can spread in a localized manner to the related soft tissues of joints. The infection can also end up as a chronic infection causing acute pain and can cause disability. The areas of the body that gets extremely infected may have the need to be amputated to stop the spread of the infection to other parts of the body. The infection can also be generalized or sepsis. Figures show that around 10 to 15 percent of patients who have this disease in the bones of their vertebra can develop disorder in the nervous system or frank spinal-cord compression. Recent studies have shown that complications in the vascular system seem to be more common with community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) than it was earlier known. Patients suffering from osteomyelitis generally have low rates of mortality unless there is an associated sepsis. The disease can also be mortal if the patient has a history of a prevalent medical condition (King & Johnson, n.d.). Osteomyelitis in children In children, this disease is more commonly carried by blood and is typically found in long bones like the femur, tibia and humerus. Generally bacteria enter the bones of children through surgical manipulations or penetrating wounds. In case of infants, this disease can spread more as the anatomical resistance power to deflect infection is less in infants. Osteomyelitis is more focal in older children with fever and bacteremia as common symptoms (Kaplan, 2005, pp.787-788). Pathophysiologic Processes Risk Factors The common risk factors for osteomyelitis are diabetis, poor blood supply, injury received in recent past and use of illegal drugs by means of injection. People whose spleen has been removed are also vulnerable to osteomyelitis. (Osteomyelitis,
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(Osteomyelitis Term Paper Example | Topics and Well Written Essays - 2500 Words)
“Osteomyelitis Term Paper Example | Topics and Well Written Essays - 2500 Words”, n.d. https://studentshare.org/nursing/1402266-osteomyelitis.
The fact that in some specialties like radiology and pathology the specialists do not deal with patients directly, in specific the pathologists barely ever meet with their patients. This is so because their’s is a technology oriented practice, in other words it can be claimed that specialties like pathology, radiology etc are the technology’s gift to medicine.
It possess capsule and therefore it is encapsulated. Klebsiella is known to be lactose fermenting organism (Ryan, 2004). Habitat It is present as the natural microflora on the epidermal layers especially skin and oral cavity. It is also present in the intestine.
S. aureus has a very vast and major disease spectrum which includes skin and soft tissue infections, osteomyelitis, sepsis, muscle and visceral abscesses, pleural empyema, bloodstream infections, endocarditis and toxin-mediated syndromes such as scalded-skin syndrome and toxic shock syndrome and food poisoning (Crossley et al 272).
Impaired microvascular circulation hinders white cell migration in the area of infections and limits the ability of antibiotic reach the infected area. The diabetic foot maybe predisposed to both common and unusual infectious or non-infectious process. This is because of the complex of nature of diabetes, it's associated vascular, and neuropathic complications.
According to the research findings, it can, therefore, be said that diabetic foot is one of the most disturbing and dangerous outcomes of diabetes. The problems of lifelong loss of a limb with concomitant limitation in mobility are only one aspect since recurrence rates are known to be high in the already afflicted cases.
These reactions include relaxation of the bladder. An Increase in the heart rate so as to increase the amount of oxygen reaching the brain and muscles. There is also dilation of the bronchioles in order to increase
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