Chronic RefractoryOsteomyelitis (Refractory)

Chronic Refractory Osteomyelitis 2020-01-03T14:20:44-05:00

Chronic Refractory Osteomyelitis Treatment

Infections in bone are hard to treat because there are not a lot of blood vessels in the bone. Antibiotics have a hard time penetrating bone. Chronic refractory osteomyelitis (CROM) is a bone infection that has not responded to conventional therapy, such as antimicrobials and surgical debridement, after a 6-week course of therapy.

These chronic bone infections can occur in pediatric patients as well as adult patients, although they are often associated with other local or systemic problems. Patients who are immunosuppressed or have other co-morbidities such as diabetes are more likely to develop CROM.

In some instances, where the bone infection has very high morbidity and mortality such as spine, skull, or sternum, osteomyelitis, which is not responding to treatment earlier than six weeks may benefit from adjunctive hyperbaric oxygen therapy. The most common presentation for CROM is in long bones after trauma, and in diabetic foot ulcers (DFU). In the DFU, about 20% of patients that are referred to a wound center will have osteomyelitis. If they do not respond to a course of conventional care, then patients should be referred for adjunctive hyperbaric oxygen therapy as part of a multi-disciplinary approach.

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HBOT Locations Near Me

Marietta, GA

61 Whitcher Street
Suite 2150
Marietta, GA 30060

Cunming, GA

1505 Northside Boulevard, Suite 1300, Cumming, GA 30041

Atlanta, GA

5665 Peachtree Dunwoody Road,
Suite G9,
Atlanta, GA 30342

Fayetteville, NC

3034 Boone Trail,
Fayetteville, NC 28304

San Francisco, CA

2107 O’Farrell Street,
San Francisco, CA 94115


During this pandemic, we will try and minimize risks to patients and staff. Guidance changes frequently, so we may need to change our recommendations over time.

We ask that all patients come into the office wearing a mask. Masks may be removed at the instruction of the staff for hyperbaric oxygen therapy.

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