Abstract

Osteomyelitis, especially its chronic form, con­ tinues to be a difficult infection to manage, with great diagnostic and therapeutic problems. Signifi­ cant changes have taken place in the epidemiology, microbiology and antibiotic therapy of bone infec­ tion. Staphylococcus aureus remains the most com­ mon causative microorganism of osteomyelitis, although Gram-negative bacilli in their totality overcome it, particularly in some specific forms of osteomyelitis. Pefloxacin is a new fluoroquinolone with a broad spectrum of activity, which includes Gram-negative bacilli and staphylococci. It can be administered both orally and intravenously, and is associated with high bioavailability and good bone diffusion, a long half-life and few secondary effects (Gonzalez & Henwood 1989).

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