Would you treated with a prolonged antibiotic course of 6 weeks for sacral osteomyelitis in a patient with underwent surgical debridement and negative pressure wound therapy device placement but for whom there is no plan for flap coverage?

Would you complete a 6-week antibiotic course for sacral osteomyelitis in a patient who underwent surgical debridement and negative pressure wound therapy but has no plan for flap coverage?

• Yes, I complete a full 6 weeks of IV antibiotics regardless of surgical adequacy
• Yes, I complete 6 weeks total but transition to oral antibiotics early if bone biopsy shows no residual osteomyelitis or the surgeon is confident in complete debridement
• No, I shorten the course if surgical debridement appears adequate and the patient is responding clinically
• Other