Skip to main content
SpringerLink
Log in

Acute haematogenous osteomyelitis — Evaluation of management in the 1990s

  • Published:
Irish Journal of Medical Science Aims and scope Submit manuscript

Abstract

There are three main areas of debate in the management of acute haematogenous osteomyelitis: The value of early operative intervention, the duration and route of antibiotic treatment and the choice of antibiotic therapy. The aim of this study is to evaluate the management protocol of acute haematogenous osteomyelitis as used in The Childrens’ Hospital, Temple Street. The protocol can be recommended.Absence of pyrexia and a normal Erythrocyte Sedimentation Rate do not exclude acute haematogenous osteomyelitis.Current thoughts on antimicrobial therapy are presented.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Powell, M., Fah, Ys., Seymour, A., Yuan, M., Williams, J. D. Antimicrobial resistance in Haemophilus influenzae from England and Scotland in 1991. J. Antimicrobe. Chemother. 1992; 29: 547–544.

    Article  CAS  Google Scholar 

  2. Gilday, D. L., Paul, D. J., Paterson, J. Diagnosis of osteomyelitis in children by combined blood pool and bone imaging. Radiology 1975; 117: 331–335

    PubMed  CAS  Google Scholar 

  3. Nade, S. Acute haematogenous osteomyelitis in infancy and childhood. J. Bone J. Surg. 1983; 65-B: 109–119.

    Google Scholar 

  4. Mollan, R. A. B., Piggot, J. Acute osteomyelitis in children. J. Bone J. Surg. 59-B: 2–7.

  5. Taine, G. J. Penicillin in the treatment of acute haematogenous osteomyelitis. NZ Med. J. 1947; 46: 178–183.

    Google Scholar 

  6. Gillespie, W. J., Mayo, K. M. The management of acute haematogenous osteomyelitis in the antibiotic era. J. Bone J. Surg. 1981; 63-B: 126–131.

    CAS  Google Scholar 

  7. Blockley, N. J., Watson, J. T. The changing epidemiology of osteomyelitis in children. J. Bone J. Surg. 1970; 52-B: 77–87.

    Google Scholar 

  8. Craigen, M. A. C., Watters, J., Hackett, J. S. The changing epidemiology of osteomyelitis in children. J. Bone J. Surg. 1992; 74-B: 541–54

    Google Scholar 

  9. Tetzlaff, T. R., McCracken, G. H., Nelson, J. D. Oral antibiotic therapy for skeletal infections in children. J. Pediatr. 1978; 92: 485–490.

    Article  PubMed  CAS  Google Scholar 

  10. Kolyvas, E., Ahronheim, G., Marks, M. I., Gledhill, R., Owen, H., Rosenthall, L. Oral antibiotic therapy of skeletal infectioms in children. J. Pediatr. 1980; 65: 867–871.

    CAS  Google Scholar 

  11. Dich, Q. V., Nelson, J. D., Haltalin, K. C. Osteomyelitis in infants and children. Am. J. Dis. Child. 1975; 129: 1273–1278.

    PubMed  CAS  Google Scholar 

  12. O’Brien, T., McManus, F., MacAuley, P. H., Ennis, J. T. Acute haematogenous osteomyelitis. J. Bone J. Surg; 1984. 64-B: 450–453.

    Google Scholar 

  13. Blockley, N. J., McAllister, T. A. Antibiotics in acute osteomyelitis in children. J. Bone J. Surg; 1972. 54-B: 299–309.

    Google Scholar 

  14. Faden, H., Grossi, M. Acute osteomyelitis in children. “Reassessment of etiological agents and their clinical characteristics”. Am. J. Dis. Child. 1991; 145: 65–69.

    PubMed  CAS  Google Scholar 

  15. White, J. M., Leon, S., Ramsay, M. E. B. Cover: 31. C.D.R. 1994; 4: 129–130.

    Google Scholar 

  16. Anonymous. Invasive haemophilus influenza infections: changing patterns. C.D.R. 1994; 4: 227.

  17. Fogarty, J.,Moloney, A.C., Neville, J. B. The epidemiology of haemophilus influenzae type b disease in the Republic of Ireland. Epidemiology and Infection. In press.

  18. Weismeier, K., Adam, D., Heilmann, H. D., Koeppe, P. Penetration of amoxacillin/clavulanate into human bone. J. Antimicrob. Chemoth. 1989; 24 Suppl. B: 93–100.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. The Children’s Hospital, Temple Street, Dublin

    A. Lane-O’Kelly & A. C. Moloney

Authors
  1. A. Lane-O’Kelly
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. C. Moloney
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lane-O’Kelly, A., Moloney, A.C. Acute haematogenous osteomyelitis — Evaluation of management in the 1990s. I.J.M.S. 164, 285–288 (1995). https://doi.org/10.1007/BF02967206

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02967206

Keywords

Search

Navigation