For how long do you treat an early spinal hardware infection secondary to MSSA after operative washout and retention of hardware?
How long do you typically prescribe antibiotic therapy for an early spinal hardware infection secondary to MSSA, after operative washout and retention of hardware?
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This infection is a key research interest of mine and one I'm deeply passionate about. I typically treat with a 12-week induction regimen, preferably using antibiofilm-active agents—an approach adapted from the DATIPO trial for prosthetic joint infections (PJI). I generally do not recommend routine ...
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Tricky issue. I typically will treat for 6 weeks (a few days IV and quick transition to PO). Then, after 6 weeks, I watch for recurrence. If that happens, I suppress for... time? Can consider using rifampin combo Rx though I am not sure if there is a final answer on that question. There was an excel...
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I don't think there are a lot of great data on this topic. In theory, it would seem to resemble a PJI that undergoes a DAIR procedure, although the differences in tissue blood flow/etc, might not make them entirely similar. But given no great data, I lean toward 12 weeks per DAIR in DATIPO to start ...
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