Evaluation of sinus-track cultures in chronic bone infection

Mousa, Haider Abdul-Lateef

doi:10.1302/0301-620x.79b4.7316

Cited by 27 publications

(11 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since the pathologically dislocated hips generally did not become normal spontaneously during growth, detection at early stage was necessary and then appropriate remedial measures were performed [8,9]. If the abducted femoral head was hinged on the acetabular margin, which was common in subluxated and dislocated hips, spontaneous progressive cephalocotyloid improvement could not be expected without having a non-hinging hip by any measure.…”

Section: Discussionmentioning

confidence: 99%

RETRACTED ARTICLE: Pathological dislocation of the hip due to coxotuberculosis in children: a 29-case report

Jiang

Liu

et al. 2014

J Orthop Surg Res

View full text Add to dashboard Cite

BackgroundThe aim of this study is to evaluate the clinical outcome of various surgery methods in children suffering pathological dislocation of the hip joint due to coxotuberculosis.Patients and methodsFrom January 2006 to January 2011, 29 children with coxotuberculosis hip dislocation were treated with open reduction (4 children) and acetabular reconstruction (25 children). According to degree of dislocation and age, acetabular reconstructions included Salter osteotomy (nine children), Pemberton operation (six children), Dega operation (seven children), the hip shelf arthroplasty (two children), and Chiari operation (one child). During acetabular reconstruction, 16 children underwent upper femoral rotational shortening osteotomies simultaneously, 6 children underwent the femoral head and neck reconstruction simultaneously, and 3 children were underwent corrective osteotomy. After operation, children were immobilized with plaster external fixation for 1–3 months and treated with routine anti-infective therapy for 3 days. During follow-up study (12–18 months), the hip stability was examined via X-ray. The recovery was evaluated via acetabular index (AI) and Harris hip score.ResultsPostoperative X-ray films of 29 children showed concentric reduction of all hips. Total 25 children healed I incision surgery, while 4 children with skin antrum of incision were further treated leading to 1–3 months delay of healing. Total 24 children were followed up for 2–5 years. X-ray examination revealed no redislocation after 2 years postoperative. The postoperative AI was normal (15°–20°) in 22 children and increased to 25°– 30° in 2 children. After 2 years postoperative, 8 children had normal function of hip joint, 13 children had mild limitation of flexion and rotation, and 3 children had fibrous ankylosis. The average of Harris hip score was 83 (ranged, 62–90).ConclusionIn our study, pathological hip dislocations of children attributed to coxotuberculosis were treated via open reduction and acetabular reconstruction and the outcomes were both excellent. Individual characteristic should be taken into consideration during treatment, and proper surgery approach should be adopted according to pathological changes of the hip.

show abstract

Section: Discussionmentioning

confidence: 99%

RETRACTED ARTICLE: Pathological dislocation of the hip due to coxotuberculosis in children: a 29-case report

Jiang

Liu

et al. 2014

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…In reality, this situation would likely concern only a minority of cases. In no way should deep ulcer specimens from the bone surface should replace bone cultures in situations where biopsy can be readily obtained, because bone cultures together with histology remain the gold standard for the diagnosis of osteomyelitis [1][2][3][4][5][6][7][8][9]11]. Further trials are needed to confirm our findings.…”

mentioning

confidence: 94%

“…Superficial wound swabbing has been proven inadequate for predicting the infecting microorganisms [1,2]. However, several studies investigated the accuracy of consecutive deep sinus tract cultures compared to bone biopsy [3][4][5][6][7][8][9]. In cases of monomicrobial osteomyelitis with sinus tract, concordant tract cultures with bone contact accurately predicted the pathogen of bone cultures [3,[6][7][8], which, however, was not unanimously confirmed [4,5,9].…”

mentioning

confidence: 99%

“…However, several studies investigated the accuracy of consecutive deep sinus tract cultures compared to bone biopsy [3][4][5][6][7][8][9]. In cases of monomicrobial osteomyelitis with sinus tract, concordant tract cultures with bone contact accurately predicted the pathogen of bone cultures [3,[6][7][8], which, however, was not unanimously confirmed [4,5,9]. Many of these studies did not include patients with diabetic toe osteomyelitis [4,9], nor did they stratify patients between long bone and diabetic foot infection [3].…”

mentioning

confidence: 99%

See 1 more Smart Citation

Predicting the pathogen of diabetic toe osteomyelitis by two consecutive ulcer cultures with bone contact

Bernard

Assal

Garzoni

et al. 2010

Eur J Clin Microbiol Infect Dis

View full text Add to dashboard Cite

In this study, we investigate the accuracy of two consecutive ulcer cultures with bone contact compared to bone biopsy for the diagnosis of diabetic toe osteomyelitis. The same nurse and orthopaedic surgeon obtained all samples: sample A-1: bone contact swabbing through the ulcer; sample A-2: a second culture swabbing from the bone surface within 24 h; sample B: surgical bone biopsy in the operating theatre. The kappa statistic measure between samples A-1 and A-2 (bone contact swabs) indicated 82.35% agreement. The sensitivity, specificity, positive and negative predictive values of the two samples A compared to B were 96%, 79%, 92% and 88%, respectively, for the causative pathogen. These results were similar with prior antibiotic treatment, discordant bone surface swabs or with monomicrobial infections. As a conclusion, two consecutive diabetic toe cultures with bone contact accurately predict the pathogen of diabetic toe osteomyelitis in 90% of cases.

show abstract

“…Prevotela melaninogenica and Peptostreptococcus species were the predominant anaerobic causative agents. Two studies were carried out by Mousa (1997) and Mousa et al (1996) concerning anaerobic bacterial infection. They found that the high rate of recovery of anaerobes was related to immediate inoculation and cultivation of material under anaerobic condition by bedside whilst delayed handling of the specimens may lead to loss of strict anaerobes.…”

Section: Aerobicmentioning

confidence: 99%

A prospective study of seven patients with chronic mastoiditis

Mousa

2015

JMM Case Reports

Self Cite

View full text Add to dashboard Cite

Introduction: Chronic mastoiditis is generally a result of chronic suppurative otitis media; it is rarely a result of failure of treatment of acute mastoiditis. Case presentation: Seven patients with chronic mastoiditis were investigated. Four patients had bilateral mastoiditis. The duration of illness ranged from 1 to 45 years. A comparison between operative and external auditory canal cultures was performed. The operative specimens were obtained directly from the infected mastoids. The external ear and mastoid specimens were inoculated and cultivated immediately by bedside. All cases showed positive bacterial cultures. The growth was monomicrobial in two cases and polymicrobial in five cases. Seventeen isolates were recovered (11 aerobes and six anaerobes). Pseudomonas aeruginosa was the most predominant isolate (23.5 %) and was recovered from four patients (57 %). This high prevalence may be related to misuse of ear drops that transmit this organism from skin flora towards the mastoid. The anaerobes were isolated from four patients. This may indicate a significant role of anaerobic bacteria in producing chronic mastoiditis that would not respond to usual treatment measures. Conclusion: Cultures from external ear canal discharge might be used as a source for isolation of bacteria causing chronic mastoiditis and chronic otitis media provided that the specimen was collected and cultivated properly. They revealed sensitivity (88 %), specificity (100 %), positive predictive value (100 %) and negative predictive value (66 %). In anaerobic cultures, the sensitivity was 66.7 %. No previous studies were found with regard to evaluation of the reliability of external ear culture for isolation of the causative agents of chronic mastoiditis or chronic otitis media.

show abstract

Evaluation of sinus-track cultures in chronic bone infection

Cited by 27 publications

References 11 publications

RETRACTED ARTICLE: Pathological dislocation of the hip due to coxotuberculosis in children: a 29-case report

RETRACTED ARTICLE: Pathological dislocation of the hip due to coxotuberculosis in children: a 29-case report

Predicting the pathogen of diabetic toe osteomyelitis by two consecutive ulcer cultures with bone contact

A prospective study of seven patients with chronic mastoiditis

Contact Info

Product

Resources

About