Virtual Online Fellowship in Management of Osteoarticular Infections (3rd Batch)

Virtual Online Fellowship in Management of Osteoarticular Infections

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Online Classes will be on Wednesday or Thursday as per prior intimation: Timing 8.00 pm IST
Recordings of the classes will be available within 24 hrs of the class and access allowed for 3 months after end of the fellowship


Virtual Online Fellowship in Management of Osteoarticular Infections (3rd Batch)


Syllables for 3rd Fellowship on Osteoarticular infections

Starting 12th January


  1. 10 sessions of 1 and a half hours each
  2. Hybrid session from Saturday afternoon to Sunday afternoon


Session 1

Basics of OA infections 

  1. A) The world of Microbes

1)       The common microbes causing osteoarticular &. Soft tissue infections

  1. A) Gram-positive and negative Bacteria
  2. B) Mycobacteria –M.TB and NTM
  3. C) Fungi
  4. D) Rare organisms

2)       How microbes reach the destinations

  1. A) Haematogenous spread
  2. B) Open fracture
  3. C) Post surgical infection
  4. D) Contiguous

3)       The biofilm – This is how it all starts and progresses

  1. A) The basis and basic of biofilm
  2. B) Organisms forming biofilm



Session 2

  1. Avoiding healthcare related infections
  • Hair removal
  • Avoiding seedlings of infection in the OT
  1. OT ventilation, current understanding and recommendation about Laminar flow
  2. OT cleaning
  3. Hand wash
  4. Part preparation
  5. Gown and draping material
  6. Medicated Isolation drapes
  7. Prophylactic Antibiotics
  8. Wound wash
  9. Dressing
  10. Drain – current understanding
  11. General recommendations
  12. Disposables
  • Sterilization of instruments, implants and linen
  1. Different types of Autoclaves
  2. Various indicators
  3. Plasma sterilization /Flash sterilization
  4. ETO
  5. Gamma Radiation
  6. Current recommendation about Glutaraldehyde
  7. Sterilization of scopes
  8. Shelf life
  9. Catheter related infection


Session 3 and 4

Open fractures and infections with cases from delegates

  1. Classification systems
  2. Antibiotics in open fractures
  3. Prehospital care
  4. Initial care in the hospital
  5. Debridement in open fractures
  6. Role of cultures in open fractures
  7. Skeletal stabilization in open fractures – and relevance in infection
  • Role of External fixation –
  1. When
  2. How long
  3. How to construct a good frame.
  4. When and why to convert to internal fixation.
  5. When to aim for fracture union in Ex fix
  6. How to reduce incidence of delayed, mal and non-union
  • Role of Internal fixation
  1. When – prerequisites
  2. Care when doing internal fixation after external fixation


Session 5  

       Role of plastic surgeon in prevention and management of infection


Session 6 Infection after closed fractures

  • Definition and classification of infection after fracture fixation
  • Differences between Infection after closed and open fractures.
  • Debridement
  1. Planning Debridement –
  2. Incisions and deep dissection.
  3. Retain or remove implants

Session 7    

Different scenarios in Fracture related infections

  • Open fractures presenting late
  • Open fracture with no infernal fixation
  • Early FRI
  • Delayed FRI
  • Late FRI after fracture heals
  • Infected NU
  • Infection persisting in spite of implants



  Hybrid meeting Saturday  afternoon to Sunday afternoon

  1. Role of microbiological diagnosis in FRI
  • Containers for sample collection
  • Culture methods
  • “ideal sample” and Method of collection
  • Tests to be done
  • Avoiding negative cultures
  • Scenarios of clinical presentation of some microbes
  1. Other laboratory findings of relevance in infections
  2. Imaging in infection. Role of  Xrays, USG,CT scan, MRI, PET,WBC PET,


  1. Systemic antibiotics
  • Prophylactic antibiotics
  • Preemptive antibiotics
  • Empirical antibiotics
  • Culture guided antibiotics
  • Suppressive antibiotics
  • Antibiotics active against Biofilm
  1. Local Antibiotics – demo
  2. Delegates' cases


Session 8

Mycobacterial affection of skeleton – TB spine


Session 9

Extra spinal TB


Session 10

  1. dark cloud on the horizon – Non Tuberculous and Fungal infections
  2. Conclusions and roadmap for future


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