[Acute osteomyelitis in childhood. A follow-up of predominantly conservatively treated children].

Abstract

The disease course in 76 children with acute osteomyelitis treated at the Pediatric Hospital, Aarau between 1970 and 1979 was followed as regards etiology, clinical symptoms, laboratory and radiologic findings, choice of antibiotics, duration of therapy and outcome. 65 children had acute hematogenous osteomyelitis and 11 children an exogenous form. 4 children (6.1%) with acute hematogenous and 4 children (36%) with exogenous osteomyelitis underwent surgery. 75 of the 76 patients were followed up for an average of 5.6 years. 14 patients (18.7%) had sequelae but only 6 patients (8%) had a deficit in function. Neonates were a special risk. 8 of the total of 18 neonates (44.5%) had sequelae, 3 with functional deficit. In older children the risk of sequelae was 9.8%. This study shows that mainly conservative therapy for acute osteomyelitis in childhood gives just as good rates of healing and a similar incidence of sequelae as in surgically treated patients.

• Authors: T Bamberger, E Gugler
• Journal: Schweizerische medizinische Wochenschrift (Schweiz Med Wochenschr) Vol. 113 Issue 35 Pg. 1219-28 (Sep 03 1983) ISSN: 0036-7672 [Print] Switzerland
• Vernacular Title: Die akute Osteomyelitis im Kindesalter. Eine Nachkontrolle von vorwiegend konservativ behandelten Kindern.
• PMID: 6623046 (Publication Type: English Abstract, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Adolescent
• Anti-Bacterial Agents (therapeutic use)
• Child
• Child, Preschool
• Drug Therapy, Combination
• Female
• Follow-Up Studies
• Humans
• Infant
• Infant, Newborn
• Male
• Osteomyelitis (drug therapy, etiology)