Hematogenous osteomyelitis in children

B Rud, S Halken, V Damholt

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

In a 10-year period, 31 children, including 9 infants, were treated for hematogenous osteomyelitis. Fifteen children were treated closed and 16 open. Thirteen of 14 positive cultures were Staphylococcus aureus. Three recurrences could possibly have been prevented by a more aggressive primary approach. At follow-up after 5 (1-12) years, 3 neonates had developed severe growth disturbances despite optimal initial treatment. Acceptable results were obtained with antibiotic therapy for 6 weeks or more. We recommend ampicillin and a penicillinase-resistant penicillin, unless bacterial resistance patterns indicate a different antibiotic. We operate if pus has formed and if a child with severe symptoms does not improve during adequate antibiotic treatment and immobilization.

OriginalsprogEngelsk
TidsskriftActa Orthopaedica (Print Edition)
Vol/bind57
Udgave nummer5
Sider (fra-til)440-3
Antal sider4
ISSN0001-6470
StatusUdgivet - okt. 1986

Fingeraftryk

Penicillinase
Immobilization
Newborn Infant
Growth

Citer dette

Rud, B ; Halken, S ; Damholt, V. / Hematogenous osteomyelitis in children. I: Acta Orthopaedica (Print Edition). 1986 ; Bind 57, Nr. 5. s. 440-3.
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Rud, B, Halken, S & Damholt, V 1986, 'Hematogenous osteomyelitis in children', Acta Orthopaedica (Print Edition), bind 57, nr. 5, s. 440-3.

Hematogenous osteomyelitis in children. / Rud, B; Halken, S; Damholt, V.

I: Acta Orthopaedica (Print Edition), Bind 57, Nr. 5, 10.1986, s. 440-3.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Hematogenous osteomyelitis in children

AU - Rud, B

AU - Halken, S

AU - Damholt, V

PY - 1986/10

Y1 - 1986/10

N2 - In a 10-year period, 31 children, including 9 infants, were treated for hematogenous osteomyelitis. Fifteen children were treated closed and 16 open. Thirteen of 14 positive cultures were Staphylococcus aureus. Three recurrences could possibly have been prevented by a more aggressive primary approach. At follow-up after 5 (1-12) years, 3 neonates had developed severe growth disturbances despite optimal initial treatment. Acceptable results were obtained with antibiotic therapy for 6 weeks or more. We recommend ampicillin and a penicillinase-resistant penicillin, unless bacterial resistance patterns indicate a different antibiotic. We operate if pus has formed and if a child with severe symptoms does not improve during adequate antibiotic treatment and immobilization.

AB - In a 10-year period, 31 children, including 9 infants, were treated for hematogenous osteomyelitis. Fifteen children were treated closed and 16 open. Thirteen of 14 positive cultures were Staphylococcus aureus. Three recurrences could possibly have been prevented by a more aggressive primary approach. At follow-up after 5 (1-12) years, 3 neonates had developed severe growth disturbances despite optimal initial treatment. Acceptable results were obtained with antibiotic therapy for 6 weeks or more. We recommend ampicillin and a penicillinase-resistant penicillin, unless bacterial resistance patterns indicate a different antibiotic. We operate if pus has formed and if a child with severe symptoms does not improve during adequate antibiotic treatment and immobilization.

KW - Adolescent

KW - Anti-Bacterial Agents

KW - Bone Diseases, Developmental

KW - Child

KW - Child, Preschool

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Infant

KW - Infant, Newborn

KW - Male

KW - Osteomyelitis

KW - Recurrence

KW - Sepsis

KW - Staphylococcal Infections

M3 - Journal article

C2 - 3811891

VL - 57

SP - 440

EP - 443

JO - Acta Orthopaedica (Print Edition)

JF - Acta Orthopaedica (Print Edition)

SN - 1745-3674

IS - 5

ER -