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Osteoarticular infections at a pediatric emergency core hospital in Japan

Mikiko Takei1, Kenichi Suga1,2, Shunsuke Takeuchi1

  • 1Department of Pediatrics, Tokushima Prefectural Central Hospital, Tokushima, Japan.

The Journal of Medical Investigation : JMI
|May 10, 2023
PubMed

Insights

Pediatric osteomyelitis (OM) and septic arthritis (SA) in Japan showed good outcomes. Early diagnosis and treatment at a pediatric emergency core hospital led to recovery without complications for all patients.

Area of Science:

  • Pediatric Infectious Diseases
  • Musculoskeletal Infections
  • Emergency Medicine

Background:

  • Childhood osteomyelitis (OM) and septic arthritis (SA) can lead to severe complications if diagnosis and treatment are delayed.
  • Prompt medical intervention is crucial for favorable outcomes in pediatric bone and joint infections.

Purpose of the Study:

  • To examine the clinical outcomes of pediatric patients diagnosed with OM/SA.
  • To evaluate the effectiveness of the pediatric emergency core hospital system in Japan for treating these conditions.

Main Methods:

  • A single-center, retrospective, observational cohort study was conducted.
  • Pediatric outpatients diagnosed with OM/SA between 2012 and 2020 were analyzed.
  • Outcomes assessed included sequelae, recurrence, chronicity, and mortality.

Main Results:

  • Fifteen patients (9 OM, 4 SA, 2 OM+SA) were included.
  • Methicillin-susceptible Staphylococcus aureus was the most common pathogen.
  • All patients recovered fully without complications or long-term sequelae.

Conclusions:

  • The pediatric emergency core system in Japan facilitates early treatment for OM/SA.
  • Patients diagnosed with OM/SA in this setting demonstrated a good prognosis.
  • This pilot study highlights the system's effectiveness in achieving positive patient outcomes.
Abstract

Keywords:
osteomyelitispediatric emergency systemretrospective cohort studyseptic arthritis

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