Osteomyelitis in Pressure Ulcers
Summary:** This best practice statement (BPS) from Wounds UK addresses osteomyelitis in pressure ulcers, affecting 20-30% of deep cases, with guidelines for diagnosis (MRI preferred, 90% sensitivity), treatment (6-12 weeks antibiotics, debridement for exposed bone), and prevention (offloading, nutrition). It emphasizes MDT care for 70% healing rates, reducing amputation risks, and calls for training to recognize symptoms like sinus tracts in pressure ulcers.
Key Highlights:
- Diagnosis: MRI for bone edema; probe-to-bone test 80% accurate; biopsy for culture.
- Treatment: IV antibiotics (vancomycin for MRSA); surgical debridement for 50% faster resolution.
- Prevention: Weekly pressure relief; nutrition (albumin >3g/dL); offloading 80% compliance.
- Outcomes: 70% healing with MDT; 20% amputation if untreated.
- Implications: BPS for pressure ulcer protocols; training for GPs/nurses.
Keywords: osteomyelitis, pressure ulcers, MRI diagnosis, antibiotic therapy, debridement