What Would Pediatric Infectious Disease Consultants Recommend for Management of Culture-Negative Acute Hematogenous Osteomyelitis?

Afghani, Behnoosh; Kong, Vivian; Wu, Fu L.

doi:10.1097/bpo/0b013e3181558981

Cited by 19 publications

(6 citation statements)

References 17 publications

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“…The 35.0% response rate for our own survey was lower than anticipated, but in view of the sensitive nature of the topic under investigation, it was not unexpected. Our response rate is still higher or comparable to similar studies using email as a distribution mode among physician specialists [ 31 , 32 ].…”

Section: Discussionsupporting

confidence: 83%

Exploring physician specialist response rates to web-based surveys

Cunningham

Quan

Hemmelgarn

et al. 2015

BMC Med Res Methodol

779

468

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BackgroundSurvey research in healthcare is an important tool to collect information about healthcare delivery, service use and overall issues relating to quality of care. Unfortunately, physicians are often a group with low survey response rates and little research has looked at response rates among physician specialists. For these reasons, the purpose of this project was to explore survey response rates among physician specialists in a large metropolitan Canadian city.MethodsAs part of a larger project to look at physician payment plans, an online survey about medical billing practices was distributed to 904 physicians from various medical specialties. The primary method for physicians to complete the survey was via the Internet using a well-known and established survey company (www.surveymonkey.com). Multiple methods were used to encourage survey response such as individual personalized email invitations, multiple reminders, and a draw for three gift certificate prizes were used to increase response rate. Descriptive statistics were used to assess response rates and reasons for non-response.ResultsOverall survey response rate was 35.0%. Response rates varied by specialty: Neurology/neurosurgery (46.6%); internal medicine (42.9%); general surgery (29.6%); pediatrics (29.2%); and psychiatry (27.1%). Non-respondents listed lack of time/survey burden as the main reason for not responding to our survey.ConclusionsOur survey results provide a look into the challenges of collecting healthcare research where response rates to surveys are often low. The findings presented here should help researchers in planning future survey based studies. Findings from this study and others suggest smaller monetary incentives for each individual may be a more appropriate way to increase response rates.

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Section: Discussionsupporting

confidence: 83%

Exploring physician specialist response rates to web-based surveys

Cunningham

Quan

Hemmelgarn

et al. 2015

BMC Med Res Methodol

779

468

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“…Given the distribution of pathogens in the different age groups, in neonates, empirical treatment should include oxacillin with the addition of gentamicin [ 18 , 19 ]. In children older than three months, to cover MSSA, S. pyogenes , and K. kingae , antistaphylococcal penicillin such as nafcillin or oxacillin or a first-generation cephalosporin such as cefazolin should be used [ 18 ]. However, in the case of a high suspicion of MRSA infection ( i.e.…”

Section: Controversies In Managementmentioning

confidence: 99%

Update on the Management of Pediatric Acute Osteomyelitis and Septic Arthritis

Castellazzi

Mantero

Esposito

2016

IJMS

140

119

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Acute osteomyelitis and septic arthritis are two infections whose frequencies are increasing in pediatric patients. Acute osteomyelitis and septic arthritis need to be carefully assessed, diagnosed, and treated to avoid devastating sequelae. Traditionally, the treatment of acute osteoarticular infection in pediatrics was based on prolonged intravenous anti-infective therapy. However, results from clinical trials have suggested that in uncomplicated cases, a short course of a few days of parenteral antibiotics followed by oral therapy is safe and effective. The aim of this review is to provide clinicians an update on recent controversies and advances regarding the management of acute osteomyelitis and septic arthritis in children. In recent years, the emergence of bacterial species resistant to commonly used antibiotics that are particularly aggressive highlights the necessity for further research to optimize treatment approaches and to develop new molecules able to fight the war against acute osteoarticular infection in pediatric patients.

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“…Clindamycin has been proven to have high efficacy in bone infections [2,23]. Intravenous clindamycin can be used for treating critically ill children infected with MRSA with sequential shift from intravenous to oral administration [11,19].…”

Section: Discussionmentioning

confidence: 99%

Life-threatening infection due to community-acquired methicillin-resistant Staphylococcus aureus: case report and review

et al. 2009

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We report an unusual case of serious, multifocal, invasive infection due to community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) in a 10-year-old girl with favorable outcome. The child manifested femoral osteomyelitis, pyomyositis, deep femoral vein thrombosis, pneumonia, encephalopathy, and disturbances of almost all organs. She remained in a critical condition for a week. Fever persisted for 6 weeks and acute phase reactants remained increased for 6 months, necessitating a 7-month antistaphylococcal therapy with a glycopeptide and clindamycin. This led to resolution of infection-associated problems during the subsequent 36 months of follow-up. CA-MRSA strain isolated from the patient harbored both staphylococcal chromosomal cassette type IV (SCCmec type IV) and Panton-Valentine leukocidin genes. A literature review of serious CA-MRSA infections indicated that only a small minority of published cases had favorable outcome.

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What Would Pediatric Infectious Disease Consultants Recommend for Management of Culture-Negative Acute Hematogenous Osteomyelitis?

Abstract: Level V.

Cited by 19 publications

References 17 publications

Exploring physician specialist response rates to web-based surveys

Exploring physician specialist response rates to web-based surveys

Update on the Management of Pediatric Acute Osteomyelitis and Septic Arthritis

Life-threatening infection due to community-acquired methicillin-resistant Staphylococcus aureus: case report and review

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