Discitis-osteomyelitis: optimizing results of percutaneous sampling.
Aspiration
Biopsy
Discitis
Microbiology
Osteomyelitis
Spine
Journal
Skeletal radiology
ISSN: 1432-2161
Titre abrégé: Skeletal Radiol
Pays: Germany
ID NLM: 7701953
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
25
05
2022
accepted:
05
08
2022
revised:
04
08
2022
medline:
25
8
2023
pubmed:
18
8
2022
entrez:
17
8
2022
Statut:
ppublish
Résumé
Vertebral discitis-osteomyelitis is an infection of the spine that involves the intervertebral disc and the adjacent vertebral body but may also extend into the paraspinal and epidural soft tissues. If blood cultures and other culture data fail to identify a causative microorganism, percutaneous sampling is indicated to help guide targeted antimicrobial therapy. Despite limited supporting evidence, withholding antimicrobial therapy for up to 2 weeks is recommended to maximize microbiological yield, although literature supporting this recommendation is limited. During the procedure, technical factors that may improve yield include targeting of paraspinal fluid collections or soft tissue abnormalities for sampling, acquiring multiple core samples if possible, and use of larger gauge needles when available. Repeat sampling may be indicated if initial percutaneous biopsy is negative but should be performed no sooner than 72 h after the initial percutaneous biopsy to ensure adequate time for culture results to return.
Identifiants
pubmed: 35976405
doi: 10.1007/s00256-022-04151-0
pii: 10.1007/s00256-022-04151-0
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1815-1823Informations de copyright
© 2022. The Author(s), under exclusive licence to International Skeletal Society (ISS).
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