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Rationale:
- Persistence of drainage or fever is unusual after 4 to 5 days of appropriate antibiotic treatment and generally suggests a
complication, such as a foreign body, inadequately drained infection, devitalized tissue, or infection due to a resistant
microorganism.
- Chronic drainage through a cutaneous fistula may suggest underlying osteomyelitis.
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Evidence:
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Comments:
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Dennis L. Stevens, PhD, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Lawrence J. Eron, MD, FACP has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
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The information included herein should never be used as a substitute
for clinical judgment and does not represent an official position of
ACP. Because all PIER modules are updated regularly, printed web pages
or PDFs may rapidly become obsolete. Therefore, PIER users should
compare the date of the last update on the website with any printout
to ensure that the information being referred to is the most current
available.
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PIER is copyrighted (c) 2008 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
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