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Acute osteomyelitis and septic arthritis in children. A simple approach to treatment.
S Afr Med J. 1984 Jan 28; 65(4):117-20.SA

Abstract

A 12-month prospective study of 45 patients with bacteriologically proven acute osteitis and septic arthritis is presented. Sodium fusidate and erythromycin at the recommended dosage of 30 mg/kg/d for 3 weeks was found to be an effective first-line antibiotic regimen. The hazards of Haemophilus infection are emphasized. Immediate Gram staining is therefore strongly recommended. It was found that adequate drainage of a subperiosteal abscess without drilling of the bone always resulted in complete cure, while cases of septic arthritis consequent upon decompression of a contiguous metaphysitis were adequately treated by arthrotomy and irrigation alone. The authors believe that early limited surgery with adequate administration of antibiotics aided by early circumspect mobilization will provide a good functional and cosmetically acceptable result in most cases.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

6695263

Citation

Learmonth, I D., et al. "Acute Osteomyelitis and Septic Arthritis in Children. a Simple Approach to Treatment." South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, vol. 65, no. 4, 1984, pp. 117-20.
Learmonth ID, Dall G, Pollock DJ. Acute osteomyelitis and septic arthritis in children. A simple approach to treatment. S Afr Med J. 1984;65(4):117-20.
Learmonth, I. D., Dall, G., & Pollock, D. J. (1984). Acute osteomyelitis and septic arthritis in children. A simple approach to treatment. South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, 65(4), 117-20.
Learmonth ID, Dall G, Pollock DJ. Acute Osteomyelitis and Septic Arthritis in Children. a Simple Approach to Treatment. S Afr Med J. 1984 Jan 28;65(4):117-20. PubMed PMID: 6695263.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute osteomyelitis and septic arthritis in children. A simple approach to treatment. AU - Learmonth,I D, AU - Dall,G, AU - Pollock,D J, PY - 1984/1/28/pubmed PY - 1984/1/28/medline PY - 1984/1/28/entrez SP - 117 EP - 20 JF - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde JO - S. Afr. Med. J. VL - 65 IS - 4 N2 - A 12-month prospective study of 45 patients with bacteriologically proven acute osteitis and septic arthritis is presented. Sodium fusidate and erythromycin at the recommended dosage of 30 mg/kg/d for 3 weeks was found to be an effective first-line antibiotic regimen. The hazards of Haemophilus infection are emphasized. Immediate Gram staining is therefore strongly recommended. It was found that adequate drainage of a subperiosteal abscess without drilling of the bone always resulted in complete cure, while cases of septic arthritis consequent upon decompression of a contiguous metaphysitis were adequately treated by arthrotomy and irrigation alone. The authors believe that early limited surgery with adequate administration of antibiotics aided by early circumspect mobilization will provide a good functional and cosmetically acceptable result in most cases. SN - 0256-9574 UR - https://www.unboundmedicine.com/medline/citation/6695263/Acute_osteomyelitis_and_septic_arthritis_in_children._A_simple_approach_to_treatment L2 - http://www.diseaseinfosearch.org/result/592 DB - PRIME DP - Unbound Medicine ER -