Final answer:
Septic bursitis is treated with antibiotics if it's caused by an infection, or with anti-inflammatory drugs for non-infectious bursitis. Chronic cases might need fluid drainage. Correct diagnosis and tailored antibiotic therapy are key to prevent severe complications.
Step-by-step explanation:
Treatment of Septic Bursitis:
The American Academy of Orthopaedic Surgeons (AAOS) guidelines suggest treating septic bursitis with antibiotics, particularly if the condition is due to an infection. If the bursitis is related to trauma or overuse, treatment may involve anti-inflammatory drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids. Chronic cases of bursitis might require fluid drainage, though surgery is generally not necessary unless complications arise.
For bacterial infections, antibiotics like oxacillin, cefazolin, or third-generation cephalosporins may be used based on the pathogen's susceptibility. In the diagnosis and treatment of infectious conditions like septic bursitis, infectious arthritis, and osteomyelitis, synovial fluid analysis, microbial testing, and appropriate antibiotic regimens are instrumental. In cases where resistance is a concern, drugs like vancomycin might be necessary.