Journal of Bone and Joint Surgery - British Volume · 1977 · 108 citations · 2 references
MedicineOrthopaedic SurgerySurgeryPediatric Infectious DiseasesPediatric OrthopaedicsPediatric Orthopedic SurgeryBone InfectionsOrthopedic InfectionOsteomyelitisOsteomyelitis ManagementBone Infection SurgeryHaematogenous OsteomyelitisHematogenous Bone InfectionOsteomyelitis Antibiotic ManagementTherapeutic Treatment Management
Unresolved issues in treating acute osteomyelitis persist, prompting further investigation. The study reports on the clinical experience of 93 children with proven acute haematogenous osteomyelitis to address these gaps. Authors analyzed clinical, operative, bacteriological, and hematological findings in detail to guide management. Eighteen patients had persistent bone infection, leading the authors to recommend that surgery be integral to diagnosis and treatment and that a combination of cloxacillin and fusidic acid be used as antibiotic therapy.
A number of problems in the treatment of acute osteomyelitis have remained unresolved in recent years. The clinical experience of ninety-three patients with proven acute haematogenous osteomyelitis is presented to help resolve these problems. Analysis of the clinical features, the operative, bacteriological and haematological findings is made and discussed in detail. Eighteen patients had continuing bone infection and recommendations are made as to how diagnosis and management might have been improved. Surgery is considered to be an essential part of the diagnostic and therapeutic management of this disease. A combination of cloxacillin and fusidic acid is recommended at the antibiotic treatment.
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