Hematogenous Osteomyelitis and Septic Arthritis

Meier, Donald E.; Rouma, Bankole S.; Socci, A.

doi:10.1007/978-3-030-41724-6_22

Cited by 1 publication

(2 citation statements)

References 19 publications

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“…Musculoskeletal infections make up a significant burden of disease in LMICs compared to HICs, straining already limited health care services, but these have been neglected as a public health priority. Joint and bone infections, such as acute septic arthritis and osteomyelitis, affect up to 12 million children, disproportionately affecting school age children [29,[44][45][46]. When these infections go unaddressed, children can often require multiple surgeries to control infection and often suffer limb loss, resulting in lifelong disability.…”

Section: Musculoskeletal Infectionsmentioning

confidence: 99%

“…Studies from LMICs show that patients with osteomyelitis may be older than most surgical patients on admission and experienced a significantly longer average length of stay [50, 52, 53]. Delayed and/or inadequate treatment of acute osteomyelitis in LMIC settings results in 60–80% of affected children presenting in the chronic phase [44, 54, 55], leading to more complex and multi‐stage management [54]. Delayed treatment of open bone fractures can also contribute to osteomyelitis in up to a quarter of patients [56, 57].…”

Section: Musculoskeletal Infectionsmentioning

confidence: 99%

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Routine Pediatric Surgical Emergencies: Incidence, Morbidity, and Mortality During the 1st 8000 Days of Life—A Narrative Review

et al. 2023

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Background Many potentially treatable non-congenital and non-traumatic surgical conditions can occur during the first 8000 days of life and an estimated 85% of children in low- and middle-income countries (LMICs) will develop one before 15 years old. This review summarizes the common routine surgical emergencies in children from LMICs and their effects on morbidity and mortality. Methods A narrative review was undertaken to assess the epidemiology, treatment, and outcomes of common surgical emergencies that present within the first 8000 days (or 21.9 years) of life in LMICs. Available data on pediatric surgical emergency care in LMICs were aggregated. Results Outside of trauma, acute appendicitis, ileal perforation secondary to typhoid fever, and intestinal obstruction from intussusception and hernias continue to be the most common abdominal emergencies among children in LMICs. Musculoskeletal infections also contribute significantly to the surgical burden in children. These “neglected” conditions disproportionally affect children in LMICs and are due to delays in seeking care leading to late presentation and preventable complications. Pediatric surgical emergencies also necessitate heavy resource utilization in LMICs, where healthcare systems are already under strain. Conclusions Delays in care and resource limitations in LMIC healthcare systems are key contributors to the complicated and emergent presentation of pediatric surgical disease. Timely access to surgery can not only prevent long-term impairments but also preserve the impact of public health interventions and decrease costs in the overall healthcare system.

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Section: Musculoskeletal Infectionsmentioning

confidence: 99%