Osteoarticular infections in young children: what has changed over the last years?

Abstract:

:Osteoarticular infections remain a significant cause of morbidity worldwide in young children. They can have a devastating impact with a high rate of serious and long-lasting sequelae, especially on remaining growth. Depending on the localisation of infection, they manifest as osteomyelitis, septic arthritis, a combination of both (i.e., osteomyelitis with adjacent septic arthritis) or spondylodiscitis. Osteoarticular infections can be divided into three types according to the source of infection: haematogenous; secondary to contiguous infection; or secondary to direct inoculation. During the last few years, many principles regarding diagnostic assays and the microbiological causes of these infections have evolved in a significant manner. In the present current-opinion review, we discuss recent concepts regarding epidemiology, physiopathology, and the microbiology of bone and joint infections in young children, as well as clinical presentations, diagnosis, and treatment of these infections. Clinicians caring for children need to be especially well versed in these newer concepts as they can be used to guide evaluation and treatment.

journal_name

Swiss Med Wkly

journal_title

Swiss medical weekly

authors

Ceroni D,Kampouroglou G,Valaikaite R,Anderson della Llana R,Salvo D

doi

10.4414/smw.2014.13971

subject

Has Abstract

pub_date

2014-06-12 00:00:00

pages

w13971

eissn

1424-7860

issn

1424-3997

pii

smw-13971

journal_volume

144

pub_type

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