Evaluation and Management of Pelvic Osteomyelitis in Stage IV Pressure Injuries: A Multidisciplinary Collaborative Approach.

This article focuses on the multidisciplinary evaluation and management of pelvic osteomyelitis (POM) in patients with stage IV pressure injuries, emphasizing the complexity of diagnosis and treatment due to limited high-quality evidence. It outlines the role of biofilms in chronic wound infections, the importance of comprehensive wound care involving various specialists, and the challenges in diagnosing POM, where histopathology remains the gold standard despite the use of imaging modalities like MRI and CT. Surgical debridement combined with flap reconstruction and a typical six-week antibiotic regimen is recommended for POM, while non-surgical candidates receive symptom-focused care aimed at improving quality of life. The article highlights significant gaps in research, particularly regarding optimal antibiotic duration and diagnostic tools, and calls for rigorous clinical trials to improve patient outcomes and reduce healthcare costs.