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Pediatric osteomyelitis in Panama

X Sáez-Llorens1, J Velarde, C Cantón

  • 1Department of Infectious Diseases, Hospital del Niño, Panama City, Panama.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|August 1, 1994
PubMed
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This study reviewed 241 pediatric osteomyelitis cases from 1974-1992. Staphylococcus aureus was the most common cause, with specific pathogens linked to certain patient groups, guiding pediatric bone infection management.

Area of Science:

  • Pediatric Infectious Diseases
  • Orthopedic Surgery
  • Microbiology

Background:

  • Osteomyelitis is a significant bone infection in children.
  • Understanding causative pathogens and risk factors is crucial for effective treatment.

Purpose of the Study:

  • To analyze the bacteriologic etiology and clinical characteristics of pediatric osteomyelitis.
  • To provide epidemiological data for guiding management in Latin American children.

Main Methods:

  • Retrospective chart review of 241 children diagnosed with osteomyelitis between 1974 and 1992.
  • Identification and documentation of causative microorganisms.
  • Correlation of pathogens with age, clinical presentation, and underlying conditions.

Main Results:

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  • Staphylococcus aureus was the most frequent pathogen (40%), followed by Pseudomonas aeruginosa (4%), Salmonella species (3%), and Haemophilus influenzae type b (3%).
  • Haemophilus influenzae type b was exclusively found in children under 2 years.
  • Pseudomonas aeruginosa was associated with penetrating foot injuries, and Salmonella with sickle cell disease.

Conclusions:

  • Staphylococcus aureus is the primary cause of pediatric osteomyelitis across all age groups.
  • Specific pathogens have distinct associations with patient demographics and clinical scenarios, informing targeted diagnostic and therapeutic approaches.