Only 2 out of every 10,000 people get osteomyelitis. The condition affects children and adults, although in different ways. Certain conditions and behaviors that weaken the immune system increase a person's risk for osteomyelitis,including: Diabetes (most cases of osteomyelitis stem from diabetes) Sickle cell disease HIV or AIDS, Rheumatoid arthritis,Intravenous drug use,Alcoholism,Long-term use of steroids,Hemodialysis,Poor blood supply,Recent injury,Bone surgery, including hip and knee replacements, also increase the chance of bone infection. Prescribing antibiotics is the first step in treating osteomyelitis.
Antibiotics help the body get rid of bacteria in the bloodstream that may otherwise re-infect the bone. The dosage and type of antibiotic prescribed depends on the type of bacteria present and the extent of infection. While antibiotics are often given intravenously, some are also very effective when given in an oral dosage. It is important to first identify the offending organism through blood cultures, aspiration, and biopsy so that the organism is not masked by an initial inappropriate dose of antibiotics. The preference is to first make attempts to do procedures (aspiration or bone biopsy) to identify the organisms prior to starting antibiotics.