Background.    @entity6227 can become complicated by pelvic @entity4034 . Little is known about the epidemiology of pressure ulcer-related pelvic @entity4034 . Methods.    We performed a retrospective cohort study of adult @entity1 with pressure @entity1066 admitted to an @entity4207 center from 2006 to 2011. Data on clinical presentation, diagnostic evaluation, and treatment during the index admission were collected. Outcome measures included length of hospital stay and number of readmissions in the subsequent year. Results.    Two hundred twenty @entity1 were included: 163 (74%) were para/quadriplegic and 148 (67%) were male (148; 67%). Mean age was 50 (  18) years. @entity530 was the primary admission diagnosis for 117 (53%). Fifty-six (26%) @entity1 had concurrent febrile urinary tract infection. Wound cultures collected for 113 @entity1 (51%) were notable for @entity3256 -resistant @entity794 (37; 33%), Streptococci (19; 17%), and Pseudomonas spp (20; 18%). Plain films were obtained in 89 (40%) @entity1 , computed tomography scans were obtained for 81 (37%) @entity1 , and magnetic resonance images were obtained for 40 (18%) @entity1 . Most @entity1 received @entity4034 -directed antibiotics (153; 70%), 134 of 153 (88%) of which were scheduled to receive >= 6 weeks of treatment. Fifty-five (25%) @entity1 underwent surgery during the index admission; 48 (22%) @entity1 received a combined medical-surgical approach. One third of @entity1 had >= 2 readmissions during the subsequent year. @entity1 treated with a combined approach were less likely to be readmitted than those who received antibiotics alone (0 [range, 0-4] vs 1 [0-7] readmissions; P = .04). Conclusions.    This is one of the largest cohort studies of pressure ulcer-related pelvic @entity4034 to date. Significant variations existed in diagnostic approach. Most patients received antibiotics; those treated with a combined medical-surgical approach had fewer hospital readmissions.

Pressure XXXX : A Neglected Disease?

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity3256 :: ('MESH:D008712', 'Chemical') :: ['methicillin'] @entity4034 :: ('MESH:D010019', 'Disease') :: ['osteomyelitis'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulcer and pelvic osteomyelitis'] @entity794 :: ('1280', 'Species') :: ['Staphylococcus aureus'] @entity530 :: ('MESH:D010386', 'Disease') :: ['Pelvic osteomyelitis'] @entity4207 :: ('MESH:D007859', 'Disease') :: ['academic'] @entity6227 :: ('MESH:D003668', 'Disease') :: ['Decubitus ulcers']
@entity1066 :: (MESH:D014456,Disease) :: ['Ulcer-Related Pelvic Osteomyelitis']
