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Journal of Bone and Joint Infection An open-access journal of the European Bone and Joint Infection Society and the MusculoSkeletal Infection Society
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Accurate diagnosis of bone infections underlying bed sores is essential. Microscopic examination of bone samples is the preferred method for diagnosis, but alternative modalities are commonly used in everyday practice. We conducted a systematic review comparing results of microscopic examination with those of alternative modalities. Our study did not find any other method to be a reliable alternative for the diagnosis of bone infections underlying bed sores compared to microscopic examination.
JBJI | Articles | Volume 6, issue 1
J. Bone Joint Infect., 6, 21–32, 2020
https://doi.org/10.5194/jbji-6-21-2020
J. Bone Joint Infect., 6, 21–32, 2020
https://doi.org/10.5194/jbji-6-21-2020

Review 26 Aug 2020

Review | 26 Aug 2020

Diagnosing pelvic osteomyelitis in patients with pressure ulcers: a systematic review comparing bone histology with alternative diagnostic modalities

Maria Chicco et al.

Related subject area

Subject: Osteomyelitis | Topic: Diagnosis
Osteomyelitis in heterotopic ossification in a patient with congenital gigantism of the leg
Martina Galea Wismayer, Kurstein Sant, Ryan Giordmaina, and Martin McNally
J. Bone Joint Infect., 6, 141–145, https://doi.org/10.5194/jbji-6-141-2021,https://doi.org/10.5194/jbji-6-141-2021, 2021
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Cited articles

Bergstrom, N., Braden, B., Kemp, M., Champagne, M., and Ruby, E.: Predicting pressure ulcer risk: a multisite study of the predictive validity of the Braden Scale, Nurs. Res., 47, 261–269, https://doi.org/10.1097/00006199-199809000-00005, 1998. 
Bodavula, P., Liang, S. Y., Wu, J., VanTassell, P., and Marschall, J.: Pressure Ulcer-Related Pelvic Osteomyelitis: A Neglected Disease?, Open Forum Infect. Dis., 2, ofv112, https://doi.org/10.1093/ofid/ofv112, 2015. 
Brunel, A. S., Lamy, B., Cyteval C, Perrochia, H., Téot, L., Masson, R., Bertet, H., Bourdon, A., Morquin, D., Reynes, J., Le Moing, V., and OSTEAR Study Group: Diagnosing pelvic osteomyelitis beneath pressure ulcers in spinal cord injured patients: a prospective study, Clin. Microbiol. Infec., 22, https://doi.org/10.1016/j.cmi.2015.11.005, 2016. 
Darouiche, R. O., Landon, G. C., Klima, M., Musher, D. M., and Markowski, J.: Osteomyelitis associated with pressure sores, Arch. Intern. Med., 154, 753–758, https://doi.org/10.1001/archinte.1994.00420070067008, 1994. 
Dealey, C., Posnett, J., and Walker, A.: The cost of pressure ulcers in the United Kingdom, J. Wound Care, 21, 261–266, https://doi.org/10.12968/jowc.2012.21.6.261, 2012. 
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Short summary
Accurate diagnosis of bone infections underlying bed sores is essential. Microscopic examination of bone samples is the preferred method for diagnosis, but alternative modalities are commonly used in everyday practice. We conducted a systematic review comparing results of microscopic examination with those of alternative modalities. Our study did not find any other method to be a reliable alternative for the diagnosis of bone infections underlying bed sores compared to microscopic examination.
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