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ID 118357
Title Alternative
Osteoarticular infections in childhood
Author
Takei, Mikiko Tokushima Prefectural Central Hospital
Takeuchi, Shunsuke Tokushima Prefectural Central Hospital
Tayama, Takahiro Tokushima Prefectural Central Hospital
Ono, Akemi Tokushima Prefectural Central Hospital
Shono, Miki Tokushima Prefectural Central Hospital
Shichijo, Koichi Tokushima Prefectural Central Hospital
Kosaka, Hirofumi Tokushima Prefectural Central Hospital
Kobayashi, Naoto Tokushima Prefectural Central Hospital
Kondo, Shuji Tokushima Prefectural Central Hospital KAKEN Search Researchers
Keywords
osteomyelitis
pediatric emergency system
retrospective cohort study
septic arthritis
Content Type
Journal Article
Description
Objectives : Osteomyelitis (OM) and septic arthritis (SA) in childhood might cause complications, sequelae, or even death if diagnosis and treatment are delayed. Here, we examined the outcomes of OM / SA at a pediatric emergency core hospital in Japan. Methods : This was a single-center, retrospective, observational cohort study at a pediatric emergency core hospital in Japan. Pediatric outpatients who underwent magnetic resonance imaging at the hospital in the period 2012–2020 were recruited. Primary outcomes were sequelae, recurrent symptoms, chronicity, and death. Results : Fifteen OM / SA patients (9 OM, 4 SA, 2 OM+SA) were recruited. The identified major pathogens included methicillin-susceptible Staphylococcus aureus (40.0 %, n = 6) and methicillin-resistant S. aureus (13.3 %, n = 2). Mean time from onset to first hospital visit, hospitalization, and initiation of effective antibiotics was 2 days, 3.9 ± 1.8 days, and 4.9 ± 2.2 days, respectively. All OM / SA patients recovered without complications or sequelae. Conclusions : In this study, all patients with OM / SA showed a good prognosis. Despite the small sample size, this pilot study suggests that the pediatric emergency core system in Japan provides early treatment and a good prognosis for patients diagnosed with OM / SA.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA11166929
Publisher
Tokushima University Faculty of Medicine
Volume
70
Issue
1-2
Start Page
236
End Page
240
Sort Key
236
Published Date
2023-02
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
University Hospital
Medical Sciences