Some aspects of long-term results of treatment of acute hematogenous osteomyelitis

Malcius, Dalius; Barauskas, Vidmantas; Užkuraitė, Rūta

doi:10.3390/medicina43060058

Cited by 7 publications

(8 citation statements)

References 19 publications

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“…In this descriptive study of 21 cases of acute hematogenous osteomyelitis in a pediatric population, the male-to-female ratio was 3.2:1. Although Riise et al (16) did not find any difference between sexes in the incidence of osteomyelitis, most studies (1,(13)(14)(15) effectively demonstrated a predominance of male sex. Zaoutis et al (17) , for example, found that boys were affected in 62% of the cases.…”

Section: Discussionmentioning

confidence: 94%

“…Recent studies compared different diagnostic methods, focusing on whether an early diagnosis may be established (8)(9)(10)(11)(12) . Moreover, different patient groups have been studied to define the disease characteristics, its progression and changes along time, particularly in determinant factors of better or worse prognoses, such as etiology and the patterns of pathogen resistance to antimicrobial drugs (13)(14)(15)(16)(17) .…”

Section: Introductionmentioning

confidence: 99%

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Osteomielite hematogênica aguda em Pediatria: análise de casos atendidos em hospital universitário

Puccini¹,

Ferrarini²,

Iazzetti

2012

Rev. paul. pediatr.

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OBJETIVO: Descrever a ocorrência, a evolução e o desfecho de pacientes com osteomielite hematogênica aguda na faixa etária pediátrica. MÉTODOS: Estudo descritivo de 21 casos de pacientes de zero a 14 anos com diagnóstico de osteomielite hematogênica aguda, em acompanhamento no Ambulatório de Infectologia Pediátrica da Escola Paulista de Medicina entre 2005 e 2009. A coleta de dados ocorreu pelo levantamento de prontuários. Realizaram-se a análise descritiva e o teste de correlação de Spearman, com intervalo de confiança de 95%. RESULTADOS: Foi identificada maior incidência no sexo masculino e em crianças maiores de cinco anos. Febre e dor foram os sintomas mais frequentes. Os ossos longos foram os mais acometidos. O principal agente etiológico identificado foi o Staphylococcus aureus. Em média, o tempo de sintomatologia até o diagnóstico foi de 9,7 dias, o de internação, 24,7 dias, e o total de antibioticoterapia foi de 71,7 dias. A resolução completa do quadro ocorreu em 71,4% dos casos, com permanência de sequelas em 28,6% deles, sendo a evolução para osteomielite crônica a principal delas. CONCLUSÕES: As características dos pacientes e da doença referentes a sexo, idade, etiologia e evolução mostram-se concordantes com o descrito na literatura. O tempo de tratamento foi de aproximadamente dez semanas, valor acima do habitualmente encontrado nos diferentes estudos. Não foram encontradas correlações significantes entre o tempo de sintomatologia até o diagnóstico, o tempo de internação e o tempo total de antibioticoterapia, havendo a limitação do tamanho da amostra.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Osteomielite hematogênica aguda em Pediatria: análise de casos atendidos em hospital universitário

Puccini¹,

Ferrarini²,

Iazzetti

2012

Rev. paul. pediatr.

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“…There are different diagnostic criteria for AHO in the medical literature (8,10). In this study, as well as in daily work, we have used our own criteria (3,11,12), which are quite similar to those described in references.…”

Section: Discussionmentioning

confidence: 99%

The accuracy of different imaging techniques in diagnosis of acute hematogenous osteomyelitis

Malcius¹,

Jonkus²,

Kuprionis³

et al. 2009

Medicina

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Summary.Objective. The aim of this study was to establish and compare diagnostic accuracy (sensitivity, specificity, and diagnostic odds ratio) of plain x-ray, ultrasonography, bone scintigraphy, computed tomography (CT), and magnetic resonance imaging (MRI) CT was 0.67 (95% CI, specificity, 0.5 (95% CI, and diagnostic odds ratio, 2.0 (95% CI,. The sensitivity of early x-ray was specificity, 0.96 (95% CI, and diagnostic odds ratio, 4.34 (95% CI,. The sensitivity of MRI was 0.81 (95% CI, specificity, 0.67 (95% CI, and diagnostic odds ratio, 8.67 (95% CI,. The sensitivity of late x-ray was 0.82 (95% CI, 0.75-0.88); specificity, 0.92 (95% CI, 0.62-1.0); and diagnostic odds ratio, 51.17 (95% CI, 6.61-2222.0). The sensitivity of bone scintigraphy was 0.81 (95% CI, specificity, 0.84 (95% CI, and diagnostic odds ratio, 22.30 (95% CI,.Conclusions. Our analysis showed that late x-ray is the most valuable radiologic method in the diagnosis of acute hematogenous osteomyelitis, but bone scintigraphy and magnetic resonance imaging are the most valuable tests at the onset of the disease.Correspondence to V. Barauskas,

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“…Historically these were diseases of high mortality [7], but even today sequelae are relatively common [13,30]. In diagnostics and monitoring, clinicians pay attention to fever, malaise, or local symptoms such as swelling, pain, or restricted motion of the affected limb.…”

Section: Introductionmentioning

confidence: 99%

Sensitivity of Erythrocyte Sedimentation Rate and C-reactive Protein in Childhood Bone and Joint Infections

Pääkkönen

Kallio

et al. 2010

Clinical Orthopaedics &Amp; Related Research

202

119

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Some aspects of long-term results of treatment of acute hematogenous osteomyelitis

Cited by 7 publications

References 19 publications

Osteomielite hematogênica aguda em Pediatria: análise de casos atendidos em hospital universitário

Osteomielite hematogênica aguda em Pediatria: análise de casos atendidos em hospital universitário

The accuracy of different imaging techniques in diagnosis of acute hematogenous osteomyelitis

Sensitivity of Erythrocyte Sedimentation Rate and C-reactive Protein in Childhood Bone and Joint Infections

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