Hematogenous osteomyelitis in infants and children in the northwestern region of Namibia. Management and two-year results.

Lauschke, F H M; Frey, Ch.

doi:10.2106/00004623-199404000-00004

Cited by 46 publications

(39 citation statements)

References 8 publications

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“…In addition, we assessed and compared the pathogens responsible, the routes and duration of antibiotic therapy, the need for surgery and the complications encountered with those of earlier series. [1][2][3][4][5][6][7][8][9][10] The study repeated that of Craigen, Watters and Hackett 11 on the same reference population between 1970 and 1990. By using identical methods we were able to observe trends, particularly with regard to incidence, over a period of 28 years.…”

mentioning

confidence: 77%

The changing epidemiology of acute and subacute haematogenous osteomyelitis in children

Blyth

Kincaid

Craigen

et al. 2001

The Journal of Bone and Joint Surgery. British volume

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We have reviewed the incidence of bacteriologically or radiologically confirmed acute haematogenous osteomyelitis in children under 13 years of age resident in the area of the Greater Glasgow Health Board between 1990 and 1997. In this period there was a fall of 44% in the incidence of both acute and subacute osteomyelitis, mainly involving the acute form (p = 0.005). This mirrors the decline of just over 50% previously reported in the same population between 1970 and 1990. Using multiple regression analysis a decline in incidence of 0.185 cases per 100 000 population per year was calculated for the 28-year period (p < 0.001).Staphylococcus was the most commonly isolated pathogen (70%). Only 20% of patients required surgery and there was a low rate of complications (10%). In general, patients with a subacute presentation followed a benign course and there were no complications or long-term sequelae in this group.Haematogenous osteomyelitis in children in this area is becoming a rare disease with an annual incidence of 2.9 new cases per 100 000 population per year. Our aim was to assess the changing epidemiology of acute and subacute osteomyelitis in a single health district from 1990 to 1997, with particular reference to the incidence and the type (acute or subacute) and site of presentation. In addition, we assessed and compared the pathogens responsible, the routes and duration of antibiotic therapy, the need for surgery and the complications encountered with those of earlier series.

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mentioning

confidence: 77%

The changing epidemiology of acute and subacute haematogenous osteomyelitis in children

Blyth

Kincaid

Craigen

et al. 2001

The Journal of Bone and Joint Surgery. British volume

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“…11,18,21,22 The largest study to date in the literature is a retrospective study of 167 children treated at an orthopaedic tertiary referral hospital in Malawi. 11 In this study, 73% of children were successfully treated in a single admission with a median length of stay of 18 days; 16% required a second admission for further surgery to control infection and 16% required surgical reconstruction.…”

Section: Treatmentmentioning

confidence: 99%

“…They concluded that the status of the periosteum was of primary importance for predicting the evolution of the disease and planning treatment. Lauschke and Frey 22 performed a retrospective two-year follow-up study in Namibia of 49 children, 26 of whom had chronic disease, and were treated with debridement and sequestrectomy. Bony instability was present in 13 patients and treated by a splint or external fixator until an adequate involucrum had developed.…”

Section: Treatmentmentioning

confidence: 99%

Chronic haematogenous osteomyelitis in children

Jones

Beckles

Akinola

et al. 2011

The Journal of Bone and Joint Surgery. British volume

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From a global point of view, chronic haematogenous osteomyelitis in children remains a major cause of musculoskeletal morbidity. We have reviewed the literature with the aim of estimating the scale of the problem and summarising the existing research, including that from our institution. We have highlighted areas where well-conducted research might improve our understanding of this condition and its treatment.

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“…Many investigators have regarded the sinus track as being unreliable for the isolation of pathogens in bone infection [1][2][3], but others have found this technique helpful [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Tuberculosis of bones and joints: diagnostic approaches

Mousa

1998

International Orthopaedics

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Hematogenous osteomyelitis in infants and children in the northwestern region of Namibia. Management and two-year results.

Cited by 46 publications

References 8 publications

The changing epidemiology of acute and subacute haematogenous osteomyelitis in children

The changing epidemiology of acute and subacute haematogenous osteomyelitis in children

Chronic haematogenous osteomyelitis in children

Tuberculosis of bones and joints: diagnostic approaches

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