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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic

Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies. Common...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...

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Related Experiment Video

Updated: Jun 3, 2026

A Periprosthetic Joint Candida albicans Infection Model in Mouse
04:37

A Periprosthetic Joint Candida albicans Infection Model in Mouse

Published on: February 2, 2024

Osteomyelitis: an update for hospitalists.

William R Howell1, Claudia Goulston

  • 1Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT84134, USA. william.howell@hsc.utah.edu

Hospital Practice (1995)
|March 29, 2011
PubMed
Summary

Osteomyelitis, a bone infection, presents challenges for hospitalists. Management is complicated by increasing antibiotic resistance and rising rates of vertebral and prosthetic joint infections.

Area of Science:

  • Infectious Diseases
  • Orthopedics
  • Hospital Medicine

Background:

  • Osteomyelitis is a complex bone infection frequently encountered by hospitalists.
  • Common types include contiguous spread (diabetic foot ulcers), hematogenous spread (vertebral osteomyelitis), and prosthetic joint infections.
  • Increasing antibiotic resistance and rising prevalence of specific osteomyelitis types pose significant management challenges.

Purpose of the Study:

  • To review the common types of osteomyelitis managed in hospitals.
  • To highlight challenges in treatment, including increasing antibiotic resistance and specific patient populations.
  • To emphasize the need for multidisciplinary collaboration in managing complex cases like prosthetic joint infections.

Main Methods:

  • Literature review of osteomyelitis management in hospital settings.

Related Experiment Videos

Last Updated: Jun 3, 2026

A Periprosthetic Joint Candida albicans Infection Model in Mouse
04:37

A Periprosthetic Joint Candida albicans Infection Model in Mouse

Published on: February 2, 2024

  • Analysis of common osteomyelitis etiologies and risk factors.
  • Discussion of emerging antibiotic resistance patterns and their impact on treatment.
  • Main Results:

    • Osteomyelitis management is challenging due to diverse origins and increasing antimicrobial resistance.
    • Hematogenous and prosthetic joint infections are increasing, requiring specialized, collaborative care.
    • Community-acquired methicillin-resistant Staphylococcus aureus is prevalent, with growing concerns about vancomycin resistance.

    Conclusions:

    • Effective osteomyelitis treatment requires a multidisciplinary approach involving hospitalists, orthopedic surgeons, and infectious disease specialists.
    • Adapting treatment strategies is crucial due to evolving antibiotic resistance patterns.
    • Further evidence-based research is needed, as current treatment relies heavily on expert opinion.