ABSTRACT

Approaches to its Management.....................................................395 14.2.3 Local Drug Delivery......................................................................396 14.2.4 Staphylococcus aureus Osteomyelitis — Special

Considerations for Treatment ........................................................400 14.3 Evolution in Bone Infection Management and Development

of New Controlled Drug Delivery Systems ...............................................401 14.3.1 Controlled Release Systems Using Traditional Absorbable

and Water-Soluble Polymers .........................................................401 14.3.2 Controlled Release of Antibiotics from Absorbable

Gel-Forming Formulations ............................................................403 14.3.3 Advances toward New Approaches to the Treatment

of Osteomyelitis.............................................................................405 14.4 Conclusion and Perspective on the Future .................................................407 References..............................................................................................................407

Osteomyelitis is a bacterial infection involving bone that is characterized by progressive inflammatory destruction of bone tissue. And while much progress has been made with regards to antibiotic development and the prevention of postsurgical

bone infection, osteomyelitis remains a significant cause of morbidity. Osteomyelitis may be the result of hematogenous seeding of bacteria, spread of infection from a contiguous area, surgical inoculation of bacteria into bone, or trauma coincident with contamination.