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. 2026 Mar 26;8(Suppl 1):22. doi: 10.1186/s42836-026-00376-9

Table 1 (Abstract O38).

Antibiotic treatment regimen

Culture Positive Culture Negative
mNGS Positive mNGS Negative
Intravenous preoperative Pathogen-sensitive antibiotics Vancomycin 1 g Vancomycin 1 g
Topical intraoperative Vancomycin 0.5 g Vancomycin 0.5 g
*Topical infusion postoperative

Anaerobic bacteria: Vancomycin 0.5 g

Gram-positive organisms: Vancomycin 0.5 g

Gram-negative organisms: Vancomycin 0.5 g

in the morning and carbapenem 0.5 g in the afternoon

Vancomycin 0.5 g in the morning and carbapenem 0.5 g in the afternoon
Intravenous postoperative Pathogen-sensitive antibiotics for 14 d Vancomycin 1 g every 12 h for 14 d
Oral postoperative Quinolones and Rifampicin as an oral switch therapy was adopted for at least 6w until CRP and ESR returned to normal levels

CRP C-reactive protein, ESR erythrocyte sedimentation rate

*Topical infusion antibiotic postoperative for 5–7 days after DAIR and for 14 days after one-stage exchange surgery