Guidelines
Acute Hematogenous Osteomyelitis (AHOM)

Acute Hematogenous Osteomyelitis (AHOM)

Note

Consult Peds ID + Orthopedics

Excludes chronic, infected hardware, or if caused by trauma (i.e., puncture wounds)

Diagnostics

  • Blood Culture(s)
  • C-reactive protein (CRP)
    • Serves as a baseline value for sequential monitoring, not diagnostic marker
  • MRSA PCR
  • CBC w/ differential
  • XR of potentially infected bone(s)
    • Helps to rule out other diagnoses
  • MRI with and without contrast

Send the following for microbiological studies/culture:

  • Aspirates and/or
  • Biopsy of bone and/or
  • Associated purulent fluid 
  • Biofire bone and joint infection panel