# Transitioning to Shorter, Oral Antimicrobial Therapy for Pelvic Osteomyelitis in Patients Living With Spinal Cord Injury

## TL;DR

A study found that shorter oral antibiotic treatments can effectively treat pelvic osteomyelitis in spinal cord injury patients.

## Contribution

The study demonstrates the effectiveness of shorter, quinolone-sparing oral antimicrobial regimens in treating pelvic osteomyelitis.

## Key findings

- 4- to 6-week oral antimicrobial regimens achieved high clinical cure rates.
- Multidisciplinary care supported effective treatment outcomes.
- Findings support antibiotic stewardship and inform future treatment guidelines.

## Abstract

An 8-year prospective cohort study of pelvic osteomyelitis in patients living with spinal cord injury shows that 4- to 6-week, post-debridement, quinolone-sparing oral antimicrobial regimens were effective within multidisciplinary care. Clinical cure (89% at 12 months) remained high with shorter durations. These real-world findings support stewardship and inform prescribing and future trials.