ACUTE OSTEOMYELITIS IN CHILDREN - A REVIEW OF 116 CASES

被引：76

作者：

SCOTT, RJ ^{[1
]}

CHRISTOFERSEN, MR ^{[1
]}

ROBERTSON, WW ^{[1
]}

DAVIDSON, RS ^{[1
]}

RANKIN, L ^{[1
]}

DRUMMOND, DS ^{[1
]}

机构：

[1] CHILDRENS HOSP,ORTHOPAED SURG,PHILADELPHIA,PA 19104

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1990年 / 10卷 / 05期

关键词：

Acute hematogenous osteomyelitis; Oral antibiotic therapy;

D O I：

10.1097/01241398-199009000-00015

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We reviewed 116 cases of acute hematogenous osteomyelitis (AHO) (without septic joints) from 1979 to 1985 to establish current patterns of clinical presentation, modes of treatment, and success of therapy. We found that patients present early in the course of their disease, and many have no findings other than local tenderness and an elevated sedimentation rate. Sixty-four of the patients were treated nonoperatively. The average antibiotic treatment time was 2 weeks by intravenous (i.v.) administration followed by additional outpatient oral therapy for periods of up to 4 weeks. This treatment regimen applied specifically to acute osteomyelitis led to no known treatment failures. © 1990 Raven Press, Ltd., New York.

引用

页码：649 / 657

页数：9

共 30 条

[1]

Behrman R.E., Vaughn V.C., Nelson W.E., Nelson Textbook of Pediatrics, pp. 574-575, (1987)

[2]

Blockley N.J., Watson J.R., Acute osteomyelitis in children, J Bone Joint Surg [Br], 52, pp. 77-87, (1970)

[3]

Bryson Y.J., Connor J.D., Leclerc M., Giammona S.T., High-dose oral dicloxacillin treatment of acute Staphylococcal osteomyelitis in children, J Pediatr, 94, pp. 673-675, (1979)

[4]

Canale S.T., Harkness R.M., Thomas P.A., Massie J.D., Does aspiration of bones and joints affect results of later bone scanning?, J Pediatr Orthop, 5, pp. 23-26, (1985)

[5]

Cole W.G., Dalziel R.E., Leitl S., Treatment of acute osteomyelitis in childhood, J Bone Joint Surg [Br], 64, pp. 218-223, (1982)

[6]

Dich V.Q., Nelson J.D., Haltalin K.C., Osteomyelitis in infants and children, Am J Dis Child, 129, pp. 1273-1278, (1975)

[7]

Edwards M.S., Baker C.J., Wagner M.L., Taber L.H., Barrett F.F., An etiologic shift in infantile osteomyelitis: The emergence of the group B Streptococcus, J Pediatr, 93, pp. 578-583, (1978)

[8]

Eisenberg J.M., Kitz D.S., Savings from outpatient antibiotic therapy for osteomyelitis, JAMA, 255, pp. 1584-1587, (1986)

[9]

Feigin R.D., Pickering L.K., Erson D., Keeney R.E., Shack-Leford P.G., Clindamycin treatment of osteomyelitis and septic arthritis in children, Pediatrics, 55, pp. 213-223, (1975)

[10]

Ferguson A.B., Acute and chronic osteomyelitis in children, Clin Orthop, 96, pp. 51-56, (1973)

← 1 2 3 →