Review article

Osteomyelitis and septic arthritis in children and adolescents

Tomislav Đapić ; Klinika za ortopediju KBC Zagreb i Sveučilišta u Zagrebu i MF Sveučilišta u Zagrebu, Zagreb, Hrvatska
Krešimir Crnogaća ; Klinika za ortopediju KBC Zagreb i Sveučilišta u Zagrebu, Zagreb, Hrvatska
Nadomir Gusić ; Odjel traumatologije i ortopedije, OB Pula, Pula, Hrvatska

Abstract

Causative pathogens, epidemiology, diagnosis, and treatment of pediatric septic arthritis and osteomyelitis have changed remarkably over the past decade. Bacteria remain the most common pathogens, especially Staphylococcus aureus, while Haemophilus influenzae virtually perished after the introduction of obligatory vaccination. Empiric antibiotic therapy in combination with surgery remains the standard treatment. The trend of short-term course of parenteral antibiotic therapy followed by oral administration is observed in recent literature. Surgeries are still conducted, mostly decompression procedures. The mortality is around 1%, but even if adequate treatment is conducted, infectious diseases of locomotor system may lead to the destruction of the joint and growth plate, shortage and angular deformity of the extremity and substantial disability.

Keywords

Infection; children; osteomyelitis; septic arthritis; tuberculosis

Hrčak ID:

133451

URI

https://hrcak.srce.hr/133451

Publication date:

31.3.2014.

Article data in other languages: croatian

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