(CS-091) Complicated lower extremity wounds, reducing hospital length of stay through localized antibiotic delivery through calcium phosphate beads
Co-Author(s):
Joseph Rundell, DPM – Podiatric Physician, Northern Illinois Foot and Ankle Specialists; Rimi Statkus, DPM FACFAS – Attending Physician, Northern Illinois Foot and Ankle Specialists
Introduction: Complicated lower extremity wounds present a significant amount of hospitalizations yearly. These often require surgical management through aggressive incision and drainage, debridement and washout procedures. Staged surgical intervention is often required to allow for resolution of infection before closure or grafting. While this is a tried and true method to manage complicated infections, it dose pose burdens on the health care system due to longer hospital stays. By localized delivery of antibiotics, we hope to demonstrate a method to allow for quicker resolution of infection which may offer benefits of shorter hospitalizations.
Methods: In this we describe the use of Calcium sulfate impregnated antibiotic beads delivered to the infection site to allow for aggressive localized antibiosis.
Results: 4 cases of complicated lower extremity infections needing staged surgical intervention presented. All had clinical resolution of infection without any complication
Discussion: Stewardship of healthcare resources is a growing concern. By using these beads for localized antibiotic delivery we can show it can assist clinical resolution of infection. As many of these patients have circulatory disease, IV antibiotics may not be able to fully reach the infection site. By using this adjunctive method, we have demonstrated a safe application of this method to assist in addressing infection to allow for shorter hospital stay.
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