Peculiarities of osteo-articular infections in children.

摘要: Paediatric osteomyelitis is uncommon in the developed world, haematogenous spread of infection being most prevalent cause children. The metaphyses long bones are sites involved cases, but neonates may to contiguous epiphysis and joint. Staphylococcus aureus main causal organism all groups. Plain X-rays take at least 7 days show first signs osteomyelitis. Bone scans change earlier, with a high sensitivity lower specificity. Magnetic resonance imaging computed tomography useful, if expensive, techniques usually require sedation micro-organisms be identified from blood cultures, fine-needle aspiration or surgical drainage. Antimicrobial therapy should given for 3-4 weeks, initially via intravenous route later switching oral medication. Surgery indicated drainage acute abscesses when there has been no improvement antibiotics; it essential treatment chronic