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