Table 2.
Patient | Year of study [reference] |
Etiologya | Source of isolate | Osteomyelitisa | Surgery | Empiric therapy | Targeted therapyb | Duration of therapyb | Outcome |
---|---|---|---|---|---|---|---|---|---|
1 | 2001 [8] |
Staphylococcus aureus | Pus | Absent | T9–T12 laminectomy | N/A | Not specified iv anti-staphylococcal antibiotics | N/A | No deficit after 18 months follow up |
2 | 2011 [9] |
MSSA | Blood | Absent | Thoracic laminectomy-drainage | Cefotaxime | Ceftriaxone | 4 weeks | Residual headache and paraspinal pain for subsequent 3 years |
3 | 2011 [10] |
MSSA | Pus | Absent | Drainage | Vancomycin + Ceftriaxone | Clindamycin+ Ceftriaxone iv then Clindamycin + Cefuroxime per os |
7.5 weeks | No deficit |
4 | 2012 [11] |
MSSA | Pus and Blood | Absent | Right sided laminectomy drainage | Ampicillin + Gentamicin Then Vancomycin + Meropenem |
Flucloxacillin + Ampicillin | 8 weeks (Note: E. faecalis from urine and renal abscess) |
No deficit |
5 | 2012 [12] |
Staphylococcus aureus | Pus | N/A | L2–L3 laminectomy drainage | N/A | Cefazolin Then Cephalexin |
6 weeks | No deficit |
6 | 2013 [13] |
Unknown | – | Absent | None | Ceftriaxone + Vancomycin | N/A | 6 weeks | No deficit |
7 | 2013 [14] |
Unknown | – | Absent | None | Nafcillin, Vancomycin Then Clindamycin (+Vancomycin on readmission) |
N/A | N/A | Standing with assistance on discharge |
8 | 2013 [14] |
MRSA | Blood | Absent | Left laminectomy T5–L2 | Clindamycin iv+ Vancomycin iv+ Rifampin iv |
Clindamycinperos + Rifampinperos | N/A | No deficit |
9 | 2013 [14] |
Unknown | – | Absent | None | Daptomycin iv+ Doripenem iv+ Doxycycline ThenDoxycycline + Doripenem |
N/A | N/A | No deficit |
10 | 2013 [Present report] | MSSA | Pus | Absent | L2 Laminectomy-abscess drainage | Vancomycin + meropenem | Ceftriaxone + Clindamycin iv, Then amoxicillin/clavulanate + rifampicin per os | 8 months | No deficit |
11 | 2014 [16] |
Group A beta-hemolytic Streptococcus | Pus | Absent | L4–L5, Partial S1 Laminectomy and drainage |
N/A | Ceftriaxone | 6 weeks | No deficit |
MSSA, methicillin-susceptible Staphylococcus aureus; MRSA, methicillin resistant Staphylococcus aureus; where not specified: not reported.
N/A, Not available.