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[Chronic posttraumatic osteomyelitis. Clinical aspects and bacteriology]

J Ring, J Seifert, D van Thiel

    Fortschritte Der Medizin
    |January 8, 1976
    PubMed
    Summary

    Chronic osteomyelitis in 50 patients often resulted from open fractures. Staphylococcus aureus was the most common pathogen. Erythrocyte sedimentation rate effectively indicated infection intensity.

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    Area of Science:

    • Orthopedics
    • Infectious Diseases
    • Microbiology

    Background:

    • Chronic posttraumatic osteomyelitis is a significant complication following fractures.
    • Open fractures from accidents are a common cause, leading to complex infections.

    Purpose of the Study:

    • To investigate the causative pathogens and clinical indicators in chronic posttraumatic osteomyelitis.
    • To evaluate the diagnostic utility of laboratory markers for infection intensity.

    Main Methods:

    • Analysis of 50 patients with chronic posttraumatic osteomyelitis.
    • Identification of bacterial pathogens, including Staphylococcus aureus, Pseudomonas aeruginosa, and Klebsiella.
    • Assessment of peripheral leukocyte count, serum electrophoresis, and erythrocyte sedimentation rate.

    Main Results:

    • Open fractures accounted for 66% of hospitalizations.
    • Staphylococcus aureus was present in 80% of cases, often in mixed infections.
    • Erythrocyte sedimentation rate showed abnormal values, correlating with infection intensity, unlike leukocyte count and electrophoresis.

    Conclusions:

    • Staphylococcus aureus is a primary pathogen in chronic posttraumatic osteomyelitis.
    • Erythrocyte sedimentation rate is a valuable biomarker for monitoring infection activity in these patients.

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