Determination of the spectrum of osteomyelitis pathogens in the Southern Federal District of Russia as a fundamental factor in creating local protocols for providing care (empirical antibiotic therapy)

Introduction: Osteomyelitis is a serious complication of diseases of the musculoskeletal system. Materials and methods: 332 patients aged 18 to 65 years with osteomyelitis of the extremity bones were examined. A set of studies was carried out, including microbiological studies with determination of antibiotic sensitivity. Results: According to the localization of the pathological process, damage to the tibia prevailed – 113 (34 %) patients. The etiology of osteomyelitis is dominated by staphylococci. Chronication of the process occurs due to gram-negative bacteria with a high level of resistance. Conclusions: Monitoring of pathogens is an important link in creating local protocols for empirical antibacterial therapy for osteomyelitis of the extremities.