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Erschienen in: Journal of Children's Orthopaedics 5/2012

01.10.2012 | Editorial

Misconceptions about childhood acute osteomyelitis

verfasst von: Raviraj Ferdinand Stephen, Michael K. D. Benson, Sydney Nade

Erschienen in: Journal of Children's Orthopaedics | Ausgabe 5/2012

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Excerpt

Osteomyelitis has been a formidable disease in many countries. Many clinicians continue to implement older treatment regimes due to ingrained fear of chronic disease. The spectre of chronic osteomyelitis with its sequestra and discharging sinuses may over-ride the accumulated but sometimes inaccessible evidence of recent years. The authors believe it timely to correct two misconceptions about acute osteomyelitis that lead to confusion, controversy and cost. It must, however, be stressed that only primary acute osteomyelitis is considered here. When joint involvement, chronic and sub-acute disease, multi-focal disease or an immunologically compromised child are implicated, each must be treated on its own merits. …
Literatur
1.
Zurück zum Zitat Hobo T (1921) Zur pathogenese der akuten haematogenen osteomyelitis. Acta Sch Med Univ Kioto 4:1–29 Hobo T (1921) Zur pathogenese der akuten haematogenen osteomyelitis. Acta Sch Med Univ Kioto 4:1–29
2.
Zurück zum Zitat Trueta J (1959) The three types of acute haematogenous osteomyelitis. J Bone Joint Surg Br 41-B:671–680 Trueta J (1959) The three types of acute haematogenous osteomyelitis. J Bone Joint Surg Br 41-B:671–680
3.
Zurück zum Zitat Emslie KR, Nade SML (1984) Acute hematogenous staphylococcal osteomyelitis. A description of the natural history in an avian model. Am J Pathol 110:333–345 Emslie KR, Nade SML (1984) Acute hematogenous staphylococcal osteomyelitis. A description of the natural history in an avian model. Am J Pathol 110:333–345
4.
Zurück zum Zitat Speers DJ, Nade SML (1985) Ultrastructural studies of adherence of Staphylococcus aureus in experimental acute hematogenous osteomyelitis. Infect Immun 49:443–446 Speers DJ, Nade SML (1985) Ultrastructural studies of adherence of Staphylococcus aureus in experimental acute hematogenous osteomyelitis. Infect Immun 49:443–446
5.
Zurück zum Zitat Alderson M, Speers D, Emslie KR, Nade SML (1986) Acute haematogenous osteomyelitis and septic arthritis—a single disease. An hypothesis based upon the presence of transphyseal blood vessels. J Bone Joint Surg Br 68:268–274 Alderson M, Speers D, Emslie KR, Nade SML (1986) Acute haematogenous osteomyelitis and septic arthritis—a single disease. An hypothesis based upon the presence of transphyseal blood vessels. J Bone Joint Surg Br 68:268–274
6.
Zurück zum Zitat Dartnell J, Ramachandran M, Katchburian M (2012) Haematogenous acute and subacute paediatric osteomyelitis: a systematic review of the literature. J Bone Joint Surg Br 94:584–595CrossRef Dartnell J, Ramachandran M, Katchburian M (2012) Haematogenous acute and subacute paediatric osteomyelitis: a systematic review of the literature. J Bone Joint Surg Br 94:584–595CrossRef
7.
Zurück zum Zitat Norden C, Gillespie WJ, Nade S (1994) Antimicrobial agents and other forms of therapy used in the treatment of bone infections. In: Norden C, Gillespie WJ, Nade S (eds) Infections in bones and joints. Blackwell Scientific, Boston, pp 119–134 Norden C, Gillespie WJ, Nade S (1994) Antimicrobial agents and other forms of therapy used in the treatment of bone infections. In: Norden C, Gillespie WJ, Nade S (eds) Infections in bones and joints. Blackwell Scientific, Boston, pp 119–134
8.
Zurück zum Zitat Vondracek TG (1995) Beta-lactam antibiotics: is continuous infusion the preferred method of administration? Ann Pharmacother 29:415–424 Vondracek TG (1995) Beta-lactam antibiotics: is continuous infusion the preferred method of administration? Ann Pharmacother 29:415–424
9.
Zurück zum Zitat Le Saux N, Howard A, Barrowman NJ, Gaboury I, Sampson M, Moher D (2002) Shorter courses of parenteral antibiotic therapy do not appear to influence response rates for children with acute hematogenous osteomyelitis: a systematic review. BMC Infect Dis 2:16CrossRef Le Saux N, Howard A, Barrowman NJ, Gaboury I, Sampson M, Moher D (2002) Shorter courses of parenteral antibiotic therapy do not appear to influence response rates for children with acute hematogenous osteomyelitis: a systematic review. BMC Infect Dis 2:16CrossRef
10.
Zurück zum Zitat Jagodzinski NA, Kanwar R, Graham K, Bache CE (2009) Prospective evaluation of a shortened regimen of treatment for acute osteomyelitis and septic arthritis in children. J Pediatr Orthop 29:518–525CrossRef Jagodzinski NA, Kanwar R, Graham K, Bache CE (2009) Prospective evaluation of a shortened regimen of treatment for acute osteomyelitis and septic arthritis in children. J Pediatr Orthop 29:518–525CrossRef
11.
Zurück zum Zitat Parsch K, Nade S (2010) Infections in bones and joints. In: Benson M, Fixsen J, Macnicol M, Parsch K (eds) Children’s orthopaedics and fractures, 3rd edn. Springer, London, pp 146–147 Parsch K, Nade S (2010) Infections in bones and joints. In: Benson M, Fixsen J, Macnicol M, Parsch K (eds) Children’s orthopaedics and fractures, 3rd edn. Springer, London, pp 146–147
12.
Zurück zum Zitat Collignon PJ, Dreimanis DE, Beckingham WD, Roberts JL, Gardner A (2007) Intravascular catheter bloodstream infections: an effective and sustained hospital-wide prevention program over 8 years. Med J Aust 187:551–554 Collignon PJ, Dreimanis DE, Beckingham WD, Roberts JL, Gardner A (2007) Intravascular catheter bloodstream infections: an effective and sustained hospital-wide prevention program over 8 years. Med J Aust 187:551–554
13.
Zurück zum Zitat Ruebner R, Keren R, Coffin S, Chu J, Horn D, Zaoutis TE (2006) Complications of central venous catheters used for the treatment of acute hematogenous osteomyelitis. Pediatrics 117:1210–1215CrossRef Ruebner R, Keren R, Coffin S, Chu J, Horn D, Zaoutis TE (2006) Complications of central venous catheters used for the treatment of acute hematogenous osteomyelitis. Pediatrics 117:1210–1215CrossRef
14.
Zurück zum Zitat Waldvogel FA, Medoff G, Swartz MN (1970) Osteomyelitis: a review of clinical features, therapeutic considerations and unusual aspects. N Engl J Med 282:198–206; parts 2 and 3, respectively, 260–6 and 316–22CrossRef Waldvogel FA, Medoff G, Swartz MN (1970) Osteomyelitis: a review of clinical features, therapeutic considerations and unusual aspects. N Engl J Med 282:198–206; parts 2 and 3, respectively, 260–6 and 316–22CrossRef
15.
Zurück zum Zitat Tharmarajah P, Rehm A, Southorn T (2012) Evaluation of paediatric outpatient parenteral antibiotic therapy for septic arthritis and osteomyelitis. In: Proceedings of the 31st Annual Meeting of the European Paediatric Orthopaedic Society (EPOS), Helsinki, Finland, April 2012 Tharmarajah P, Rehm A, Southorn T (2012) Evaluation of paediatric outpatient parenteral antibiotic therapy for septic arthritis and osteomyelitis. In: Proceedings of the 31st Annual Meeting of the European Paediatric Orthopaedic Society (EPOS), Helsinki, Finland, April 2012
16.
Zurück zum Zitat Cole WG (1987) Treatment of early-acute osteomyelitis in childhood: brief report. J Bone Joint Surg Br 69:845–846 Cole WG (1987) Treatment of early-acute osteomyelitis in childhood: brief report. J Bone Joint Surg Br 69:845–846
17.
Zurück zum Zitat Cole WG, Dalziel RE, Leitl S (1982) Treatment of acute osteomyelitis in childhood. J Bone Joint Surg Br 64:218–223 Cole WG, Dalziel RE, Leitl S (1982) Treatment of acute osteomyelitis in childhood. J Bone Joint Surg Br 64:218–223
18.
Zurück zum Zitat Zaoutis T, Localio AR, Leckerman K, Saddlemire S, Bertoch D, Keren R (2009) Prolonged intravenous therapy versus early transition to oral antimicrobial therapy for acute osteomyelitis in children. Pediatrics 123:636–642CrossRef Zaoutis T, Localio AR, Leckerman K, Saddlemire S, Bertoch D, Keren R (2009) Prolonged intravenous therapy versus early transition to oral antimicrobial therapy for acute osteomyelitis in children. Pediatrics 123:636–642CrossRef
19.
Zurück zum Zitat Peltola H, Pääkkönen M, Kallio P, Kallio MJ; Osteomyelitis-Septic Arthritis Study Group (2010) Short- versus long-term antimicrobial treatment for acute hematogenous osteomyelitis of childhood: prospective, randomized trial on 131 culture-positive cases. Pediatr Infect Dis J 29:1123–1128CrossRef Peltola H, Pääkkönen M, Kallio P, Kallio MJ; Osteomyelitis-Septic Arthritis Study Group (2010) Short- versus long-term antimicrobial treatment for acute hematogenous osteomyelitis of childhood: prospective, randomized trial on 131 culture-positive cases. Pediatr Infect Dis J 29:1123–1128CrossRef
20.
Zurück zum Zitat Peltola H, Unkila-Kallio L, Kallio MJ (1997) Simplified treatment of acute staphylococcal osteomyelitis of childhood. The Finnish Study Group. Pediatrics 99:846–850CrossRef Peltola H, Unkila-Kallio L, Kallio MJ (1997) Simplified treatment of acute staphylococcal osteomyelitis of childhood. The Finnish Study Group. Pediatrics 99:846–850CrossRef
Metadaten
Titel
Misconceptions about childhood acute osteomyelitis
verfasst von
Raviraj Ferdinand Stephen
Michael K. D. Benson
Sydney Nade
Publikationsdatum
01.10.2012
Verlag
Springer Berlin Heidelberg
Erschienen in
Journal of Children's Orthopaedics / Ausgabe 5/2012
Print ISSN: 1863-2521
Elektronische ISSN: 1863-2548
DOI
https://doi.org/10.1007/s11832-012-0435-x

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