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Musculoskeletal Infection in Pediatrics: Assessment of the 2018 International Consensus Meeting on Musculoskeletal

Alexus M Cooper1, Alexander J Shope1, Mahzad Javid2

  • 1Rothman Orthopaedic Institute at Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

The Journal of Bone and Joint Surgery. American Volume
|October 1, 2019
PubMed

Insights

The Second International Consensus Meeting (ICM) updated guidelines for musculoskeletal infections, expanding scope to all orthopedic subspecialties. This pediatric section focuses on prevention, diagnosis, and treatment strategies for children.

Area of Science:

  • Orthopedic Surgery
  • Infectious Diseases
  • Pediatric Musculoskeletal Infections

Background:

  • The Second International Consensus Meeting (ICM) convened in July 2018.
  • It involved international experts from diverse medical fields.
  • The meeting aimed to update and expand upon the 2013 inaugural ICM guidelines.

Purpose of the Study:

  • To develop evidence-based consensus guidelines for musculoskeletal infections.
  • To broaden the scope from hip and knee periprosthetic infections to all orthopedic subspecialties.
  • To provide an overview of consensus recommendations for pediatric musculoskeletal infections.

Main Methods:

  • A 13-step consensus process utilizing the Delphi technique.
  • Involvement of a multidisciplinary consortium of experts.
  • Review and update of existing guidelines and development of new ones.

Main Results:

  • Updated recommendations for musculoskeletal infection management.
  • New guidelines encompassing all orthopedic subspecialties.
  • Specific focus on prevention, diagnosis, and treatment in pediatrics.

Conclusions:

  • The 2018 ICM established comprehensive, evidence-based guidelines for musculoskeletal infections.
  • The updated guidelines reflect a broader scope and incorporate pediatric considerations.
  • These recommendations aim to improve the management of pediatric musculoskeletal infections.

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