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[Acute osteomyelitis and septic arthritis in children: one year experience]
Insights
This study analyzed pediatric bone and joint infections, finding Staphylococcus aureus as the most common pathogen. All identified bacteria were susceptible to empiric antibiotic therapy, leading to excellent patient outcomes.
Area of Science:
- Pediatric Infectious Diseases
- Microbiology
- Orthopedics
Context:
- Bone and joint infections are significant concerns in pediatric populations.
- Understanding the causative pathogens and their susceptibility is crucial for effective treatment.
- This study reviews a cohort of pediatric patients with osteomyelitis and arthritis.
Purpose:
- To delineate the bacteriologic epidemiology of pediatric osteomyelitis and arthritis.
- To identify common bacterial pathogens and their antibiotic susceptibility patterns.
- To evaluate treatment outcomes for these infections in children.
Summary:
- A retrospective review included 52 osteomyelitis, 52 arthritis, and 20 osteoarthritis cases in children (1 month to 15 years).
- Staphylococcus aureus was the most frequent isolate (14/19), followed by Streptococcus pneumoniae (4/10).
- Positive cultures were obtained in 29% of cases, with all isolates susceptible to empiric antibiotics, resulting in favorable outcomes.
Impact:
- Provides essential data on pediatric bone and joint infection epidemiology.
- Informs empirical antibiotic treatment guidelines for pediatric osteomyelitis and arthritis.
- Highlights the effectiveness of current therapeutic strategies in achieving good patient outcomes.
Abstract:
To describe bacteriologic epidemiology of bone and joint infections, a total of 52 osteomyelitis, 52 arthritis and 20 osteoarthritis of children aged one month to 15 years during a one-year period (2001) were included in a retrospective unicentric review. The mean age was 3,9 +/-3,6 years. Fever and pain were the most common clinical symptoms. The site of infection was single in 95%, involving lower extremities in 80%. Bone scintigraphy was abnormal in 71% of osteomyelitis. Positive cultures was obtained in 29% of all cases (blood cultures: 20%, aspiration cultures: 29%), but in 42% of cases which have both blood and aspiration cultures. Thirty-six bacteria were identified: 19 Staphylococcus (14 aureus), ten Streptococcus (four pneumoniae), three Salmonella, three Kingella kingae, one Moraxella. All the isolates were susceptible to the empiric antibiotic therapy. Outcome was good in 100% of osteomyelitis and in 96% of arthritis.
