Acute hematogenous osteomyelitis and septic arthritis in children

Hui Chin Kao, Yhu Chering Huang, Cheng Hsun Chiu, Luan Yin Chang, Zhon Liau Lee, Pei Wen Chung, Feng Chen Kao, Tzou Yien Lin

研究成果: 雜誌貢獻文章

51 引文 斯高帕斯(Scopus)

摘要

This retrospective study analyzed the clinical, bacteriological, and radiological features of pediatric patients with acute hematogenous osteomyelitis and septic arthritis. Eighty-four patients with septic arthritis and 39 with acute hematogenous osteomyelitis were enrolled. Their age ranged from 13 days to 17 years. In patients with septic arthritis, the hip joint was the most often infected site. The tibia was the most often involved site in acute hematogenous osteomyelitis. A bacteriological diagnosis was established in 78 (63%) patients. Overall, methicillin-susceptible Staphylococcus aureus (36 cases) was the most common causative organism identified, followed by methicillin-resistant S. aureus (10 cases). The median duration of antibiotic therapy was 33 days. Serum bactericidal titers were obtained for 19 (15%) of the 123 patients. The median duration of hospitalization and antibiotic treatment was not significantly different between patients with and without serum bactericidal titer testing. More patients without serum bactericidal titer testing had symptom relapse which required re-admission for further treatment. In conclusion, the incidence of methicillin-resistant S. aureus as a cause of bone and joint infections has been increasing. Serum bactericidal titer is valuable for the management of patients receiving sequential therapy for acute hematogenous osteomyelitis and septic arthritis.
原文英語
頁(從 - 到)260-265
頁數6
期刊Journal of Microbiology, Immunology and Infection
36
發行號4
出版狀態已發佈 - 十二月 2003
對外發佈Yes

ASJC Scopus subject areas

  • Microbiology (medical)
  • Immunology and Allergy
  • Immunology and Microbiology(all)

指紋 深入研究「Acute hematogenous osteomyelitis and septic arthritis in children」主題。共同形成了獨特的指紋。

  • 引用此

    Kao, H. C., Huang, Y. C., Chiu, C. H., Chang, L. Y., Lee, Z. L., Chung, P. W., Kao, F. C., & Lin, T. Y. (2003). Acute hematogenous osteomyelitis and septic arthritis in children. Journal of Microbiology, Immunology and Infection, 36(4), 260-265.