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Chronic osteomyelitis in children: Shriners Hospital Honolulu experience.
- Source :
-
Journal of pediatric orthopedics. Part B [J Pediatr Orthop B] 2005 Sep; Vol. 14 (5), pp. 362-6. - Publication Year :
- 2005
-
Abstract
- Chronic osteomyelitis incidence and severity in 55 hospitalized Pacific Island children between 1990 and 2002 were compared with the expected incidence and reports in the literature. Of these 55 cases, 87% were from Polynesia/Micronesia. The average length of hospital stay was 104 days. Staphylococcus aureus was cultured in 64% of the cases with 43% of those being methicillin resistant S. aureus. A total of 111 bones were involved. Average antibiotic treatment was 135 days. Each case required an average of 1.3 irrigations/debridements and 45% required a sequestrectomy. Ninety-two percent had elevated erythrocyte sedimentation rate on admission. Sixty-nine percent of the cases involved metaphyseal, diaphyseal and epiphyseal segments of the bone and 29% were multifocal. Results indicate that Pacific Island children have a higher incidence and increased severity of osteomyelitis when compared with non-Pacific Island children in the literature, requiring a high suspicion for multifocal osteomyelitis, extensive bone involvement, S. aureus positive cultures and a longer period of antibiotic treatment.
- Subjects :
- Adolescent
Adult
Anti-Bacterial Agents therapeutic use
Child
Child, Preschool
Chronic Disease
Debridement statistics & numerical data
Female
Hawaii epidemiology
Humans
Incidence
Infant
Length of Stay statistics & numerical data
Male
Methicillin Resistance
Native Hawaiian or Other Pacific Islander
Osteomyelitis microbiology
Osteomyelitis therapy
Prevalence
Retrospective Studies
Severity of Illness Index
Staphylococcal Infections epidemiology
Staphylococcus aureus isolation & purification
Therapeutic Irrigation statistics & numerical data
Osteomyelitis epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1060-152X
- Volume :
- 14
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of pediatric orthopedics. Part B
- Publication Type :
- Academic Journal
- Accession number :
- 16093948
- Full Text :
- https://doi.org/10.1097/01202412-200509000-00009