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How long do you treat Staphylococcus aureus pyomyositis with antibiotics?

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What factors influence your decision on the duration of antibiotic therapy for Staphylococcus aureus pyomyositis?

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3 Answers
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Infectious Disease · Private Pratice
Answered on

I agree, and certainly evaluating for bacteremia that can be associated with these types of infections, which would alter the duration of therapy.

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Infectious Disease · Cooperman Barnabas Medical Center
Answered on

I agree with Dr. @Dr. First Last, it all depends on the timing and adequacy of the surgery. As for Dr. Finland's comment, I didn't know that one, but I love it.

I have always found it incredible how rarely the Founders of ID were wrong on antibiotic therapy. I put this table together a few years ago...

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Mednet MemberInvited Expert
Infectious Disease · Stanford Health Care
Answered on

The critical issue with treating serious infections like pyomyositis due to Staph aureus, monomicrobial or polymicrobial necrotizing fasciitis, or Clostridial myonecrosis is assuring adequate surgical debridement. To quote the legendary Dr. Maxwell Finland, when asked on rounds how long to treat a c...

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