Articles | Volume 6, issue 1
https://doi.org/10.5194/jbji-6-21-2020
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, Prashant Singh, Younatan Beitverda, Gillian Williams, Hassan Hirji, and Guduru Gopal Rao

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Subject: Osteomyelitis | Topic: Diagnosis
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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.