Alexander M Tatara, Antonia F Chen, F Joseph Simeone, Sandra B Nelson
{"title":"Models of Musculoskeletal Infection Care: The Importance of Multidisciplinary Collaboration.","authors":"Alexander M Tatara, Antonia F Chen, F Joseph Simeone, Sandra B Nelson","doi":"10.1016/j.idc.2025.02.017","DOIUrl":"https://doi.org/10.1016/j.idc.2025.02.017","url":null,"abstract":"<p><p>Musculoskeletal infections are increasing in incidence and complexity. There is mounting evidence that formal models of multidisciplinary care improve patient outcomes in severe infection. In this study, we review different published models of multidisciplinary care for patients with musculoskeletal infection. We then characterize the roles of different specialists and staff on multidisciplinary teams. Lastly, we discuss core themes in successful multidisciplinary care and the current gaps in the literature. This study also serves as a call to action for institutions to support the implementation and rigorous study of multidisciplinary care for patients with musculoskeletal infection.</p>","PeriodicalId":13562,"journal":{"name":"Infectious disease clinics of North America","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pelvic Osteomyelitis.","authors":"Jakrapun Pupaibool, Justin Haller","doi":"10.1016/j.idc.2025.02.013","DOIUrl":"https://doi.org/10.1016/j.idc.2025.02.013","url":null,"abstract":"<p><p>Pelvic osteomyelitis is a challenging infection often caused by contiguous spread, direct inoculation, or hematogenous dissemination, with key risk factors including trauma, surgery, radiation, and intra-abdominal or genitourinary infections. Diagnosis relies on bone biopsy with culture and histopathology, and MRI is the most sensitive imaging study. Treatment requires surgical debridement with extended antimicrobial therapy. Local antibiotic therapy can provide targeted antimicrobial treatment at the site of infection, enhancing the effectiveness of systemic antibiotics. Early recognition, thorough diagnostic workup, and individualized treatment strategies are crucial for improving outcomes in this complex condition.</p>","PeriodicalId":13562,"journal":{"name":"Infectious disease clinics of North America","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fracture-Related Infections.","authors":"Jessica Seidelman, Malcolm DeBaun","doi":"10.1016/j.idc.2025.02.012","DOIUrl":"https://doi.org/10.1016/j.idc.2025.02.012","url":null,"abstract":"<p><p>Fracture-related infections are challenging complications in orthopedic care, marked by infection at fracture or surgical sites, often involving biofilm-associated pathogens. They result in significant morbidity, prolonged hospitalizations, and high health care costs. Diagnosis integrates clinical, laboratory, and imaging findings, while treatment combines surgical debridement, implant management, and targeted antimicrobial therapy. Common pathogens include Staphylococcus aureus and Staphylococcus epidermidis, with culture-negative cases requiring advanced diagnostics. A multidisciplinary approach is critical to optimizing outcomes, addressing complications, and reducing the socioeconomic impact of these infections. Advances in treatment strategies continue to improve survival and quality of life for affected patients.</p>","PeriodicalId":13562,"journal":{"name":"Infectious disease clinics of North America","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Themes and Challenges in Managing Musculoskeletal Infections.","authors":"Laura K Certain","doi":"10.1016/j.idc.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.idc.2025.02.008","url":null,"abstract":"","PeriodicalId":13562,"journal":{"name":"Infectious disease clinics of North America","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Manifestations of SARS-CoV-2 Infection in Immunocompetent Adults in the Era of Widespread Population Immunity and Omicron Sublineage Viruses","authors":"Alexander Shaffer MD , Eric A. Meyerowitz MD","doi":"10.1016/j.idc.2025.02.002","DOIUrl":"10.1016/j.idc.2025.02.002","url":null,"abstract":"","PeriodicalId":13562,"journal":{"name":"Infectious disease clinics of North America","volume":"39 2","pages":"Pages 233-251"},"PeriodicalIF":6.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Coronavirus Disease 2019 (COVID-19) on Vulnerable Communities","authors":"Jodian A. Pinkney MBBS, DM, MPH","doi":"10.1016/j.idc.2025.02.006","DOIUrl":"10.1016/j.idc.2025.02.006","url":null,"abstract":"","PeriodicalId":13562,"journal":{"name":"Infectious disease clinics of North America","volume":"39 2","pages":"Pages 331-343"},"PeriodicalIF":6.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}