This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Del DeHart, MD
Saginaw, Mich

Arch Intern Med. 1994;154(21):2501.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In their article, Darouiche et al¹ report that pathologic evaluation of bone tissue is required for definitive diagnosis of osteomyelitis associated with pressure sores. They conclude that correct diagnosis by their method led to prolonged treatment and healing. While I would be delighted with a relatively safe and effective method to evaluate such cases, there is no evidence here that outcome was impacted at all. Unfortunately, the treatment arm was not randomized, nor are we told of the treatment strategies and outcomes of patients not thought to have osteomyelitis. Does the finding of inflammatory cells in the bone biopsy specimen affect outcome when treatments are similar? This is an interesting approach to a distressingly common problem. An outcomes trial is needed, and I hope it is undertaken by this group. . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?