2008
DOI: 10.1016/j.paed.2007.11.002
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Haematogenous osteomyelitis in children: epidemiology, classification, aetiology and treatment

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Cited by 19 publications
(16 citation statements)
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“…4,[9][10][11] For comparison, the annual incidence in the United States is estimated at 1:5000. 10 There has been a worldwide fall in the incidence of AHO.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…4,[9][10][11] For comparison, the annual incidence in the United States is estimated at 1:5000. 10 There has been a worldwide fall in the incidence of AHO.…”
Section: Discussionmentioning
confidence: 99%
“…The main indications for surgery include failure to respond to antibiotics after 48 to 72 hours, frank pus on aspiration, intra-articular suppuration, or sequestered abscess. 6,7,9,41,42 With clinical or radiologic evidence of septic arthritis or abscess formation, we would proceed to surgery immediately. In our institutions drilling of the affected bone is not routine.…”
Section: Discussionmentioning
confidence: 99%
“…We report a male predominance and a higher prevalence of BJIs among boys of all ages. Skin infections and trauma have been shown to be risk factors for BJIs in childhood (7,10,15). We also found that males had more skin disorders and fractures than females.…”
Section: Discussionmentioning
confidence: 99%
“…Neonatal vascular anatomy allows infection within the bone to reach the growth plate or joint in 76% of neonatal osteomyelitis cases. 13 The pathogens implicated in paediatric bone and joint infections commonly include meticillin-sensitive Staphylococcus aureus (MSSA) (44-80%) 8,14,15 and Kingella kingae (14-50%; higher in children aged < 36 months) 8,[15][16][17][18][19] and more rarely meticillin-resistant S. aureus (MRSA) (rare in the UK but found in 40-50% of cases in the USA), 20,21 Panton-Valentine leukocidin (PVL) MSSA, 22,23 group A Streptococcus (GAS), group B Streptococcus (GBS) (neonates), 12,24 non-typeable Haemophilus spp. (incidence unknown), Haemophilus influenzae type b (in non-immunised or immunodeficient children), Escherichia coli (neonates), 12,24 Streptococcus pneumoniae 25 and coagulase-negative Staphylococcus (subacute).…”
Section: Osteomyelitis and Septic Arthritis In Childrenmentioning
confidence: 99%
“…Radiographic changes are frequently seen in subacute OM, but can be confused with malignancies such as Ewing's sarcoma or osteoid osteoma. 13 In SA, plain radiographs are of limited use. In discitis, lateral radiographs of the spine 2-3 weeks into the illness often will reveal disc space narrowing with erosion of the vertebral end plates of the contiguous vertebrae.…”
Section: Imagingmentioning
confidence: 99%