Evolving pattern of osteomyelitis and septic arthritis during the last 12 years in two Barcelona hospitals

Laura Garriga-Grimau, Montserrat Lloberas Blanch, Montserrat Vives Campos, Ramon Clapes Ferran, Antoni Martínez-Roig

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Objective: To analyze the clinical presentation, diagnosis, therapeutic management, and evolution of infectious osteoarticular conditions in children.Methods: Retrospective review of the treatment and outcome data of children with osteomyelitis and septic arthritis admitted to the Hospital del Mar and Hospital de Nens in Barcelona between January 1, 2000 and August 31, 2012.Results: Thirty-one patients with osteomyelitis and 44 patients with septic arthritis were included. The median age of the 31 patients with osteomyelitis was 5.9 years, and in 35% of the patients the infection was in the long bones of the lower extremities. S. aureus was isolated in 41% of the cases, and an infectious agent was not identified in 48% of the patients. The average treatment duration was 46.2 days, and the evolution was favorable and uncomplicated in 61% of the cases. The median age of the 44 patients wit septic arthritis was 2.6 years, and the infection was located in the knee in 48% of the patients. A causative agent was isolated in 21% of the cases, with S. aureus being the most prevalent (11%). Arthrocentesis was performed in 59% of the cases and the mean treatment duration was 23.1 days, with good evolution in 95% of the patients.Conclusions: We document an increase in the number of cases of osteomyelitis and septic arthritis in relation to the hospitals emergency room visits. S. aureus is the most common etiologic agent, despite the low sensitivity of the cultures. All patients received intravenous antibiotic therapy, followed by oral treatment. Most cases had a very good outcome.Background: Infectious osteoarticular diseases nave different clinical presentations, etiologies, diagnostic methods, and treatment.
    Original languageEnglish
    Pages (from-to)70-75
    JournalPediatria Catalana
    Volume74
    Issue number2
    Publication statusPublished - 1 Jan 2014

    Keywords

    • Children
    • Osteomyelitis
    • Retrospective review
    • Septic arthritis

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