The causative organism is not always identified. More than three-quarters of the identified organisms are Staphylococcus aureus. Acute infection is associated with inflammatory changes in the bone and may lead to necrosis. Some patients will develop chronic osteomyelitis.
Symptoms of Osteomyelitis
Chills, sweating, nausea, vomiting, and Diarrhea
Pain, redness, and swelling over the bone is common.
Diabetics may have little or no pain.
Causes of Osteomyelitis
- Staphylococcus aureus is the most common cause of Osteomyelitis
- Group B Streptococcus and coliforms in neonates
- Neisseria gonorrhoeae in sexually active adolescents
- Mycobacterium Tuberculosis
- Mixed infections with multiple bacterias can occur.
- Haemophilus influenzae in children less than 3 years of age
Nursing Diagnosis of Osteomyelitis
• Activity intolerance
Nursing Intervention of Osteomyelitis
Monitor vital signs, changes in blood pressure, elevated pulse, elevated temperature
and respiratory rate.
• Monitor wound site for redness, drainage, and odor.
• Monitor IV access site for patency.
- Provide thorough skin care.
- Provide complete cast care.
- Administer prescribed analgesics for pain.
• Importance of completing antibiotic medication.
• How to flush venous access device.
• Signs of infiltration, clotting of venous access device.
Medical-Surgical Nursing Demystified