Fusidic acid is a member of the fusidane class. The sodium salt was introduced into clinical practice in The fusidic acid nucleus has properties common to other tetracyclic structures such as the adrenocorticoids and bile salts, especially cholate and taurocholate Fusidic acid is related to other antibiotic groups including the helvolic acids and the viridominic acids.
Systemic Antibiotic Therapy for Chronic Osteomyelitis in Adults
General Principles of Antimicrobial Therapy
The standard recommendation for treating chronic osteomyelitis is 6 weeks of parenteral antibiotic therapy. However, oral antibiotics are available that achieve adequate levels in bone, and there are now more published studies of oral than parenteral antibiotic therapy for patients with chronic osteomyelitis. Oral and parenteral therapies achieve similar cure rates; however, oral therapy avoids risks associated with intravenous catheters and is generally less expensive, making it a reasonable choice for osteomyelitis caused by susceptible organisms. Addition of adjunctive rifampin to other antibiotics may improve cure rates. The optimal duration of therapy for chronic osteomyelitis remains uncertain. In view of concerns about encouraging antibiotic resistance to unnecessarily prolonged treatment, defining the optimal route and duration of antibiotic therapy and the role of surgical debridement in treating chronic osteomyelitis are important, unmet needs. Chronic osteomyelitis is an infection of bone that does not result from acute hematogenous seeding or penetrating injury and usually occurs by contiguous spread and has been present for several weeks.
Managing bacteria and their biofilms in wounds is vital in achievingwound healing. When skin becomes broken due to an injury or trauma to the tissue, the normal wound healing process begins. Basically, three phases of wound healing occur in healthy individuals, which include the inflammatory, proliferation and remodeling phase.
As antibiotic resistance becomes frighteningly routine, dermatologists worried about their heavy reliance on these drugs are on a quest to find new ways to treat common skin conditions like acne and rosacea, which affect up to 66 million Americans 50 million and 16 million, respectively. The medical community is expressing enthusiasm for some promising new therapeutic products in clinical trials. These products — using a novel formulation of minocycline —have the potential to be the first real advances in antibiotic acne treatment in nearly 40 years. Innovation is critically important. Up to two-thirds of these antibiotic prescriptions were for the treatment of acne vulgaris.