Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
COXITIS IN NEWBORNS AND INFANTS
Autore:
PARSCH K; SAVVIDIS E;
Indirizzi:
OLGA HOSP,ORTHOPAD KLIN,BISMARCKSTR 8 D-70569 STUTTGART GERMANY
Titolo Testata:
Der Orthopade
fascicolo: 10, volume: 26, anno: 1997,
pagine: 838 - 847
SICI:
0085-4530(1997)26:10<838:CINAI>2.0.ZU;2-#
Fonte:
ISI
Lingua:
GER
Soggetto:
ACUTE HEMATOGENOUS OSTEOMYELITIS; PHOSPHATE BONE-SCAN; SEPTIC ARTHRITIS; JOINT INFECTIONS; MUSCULOSKELETAL INFECTION; NEONATAL OSTEOMYELITIS; MAGNETIC-RESONANCE; SUPPURATIVE BONE; CHILDREN; DIAGNOSIS;
Keywords:
COXITIS; INFANTS; ULTRASONOGRAPHY; SURGICAL THERAPY; ANTIBIOTICS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
62
Recensione:
Indirizzi per estratti:
Citazione:
K. Parsch e E. Savvidis, "COXITIS IN NEWBORNS AND INFANTS", Der Orthopade, 26(10), 1997, pp. 838-847

Abstract

From 1985 to 1996 (12 years) we saw 24 neonates and small infants with septic arthritis of the hip joint. A minority of these infants was simultaneously affected by osteomyelitis of the femoral neck or the acetabulum. Clinical signs are a painful leg, pseudoparalysis, uneasinessand refusal to drink. Quantitative measurements of C-reactive protein(CRP) are more reliable then leucocyte count and sedimentation rate. Ultrasound images yield early information about capsular swelling and septic effusion; in late cases US can visualize femoral neck necrosis. Emergency arthrotomy to relieve the joint from septic effusion, bacteriological specimens and capsular biopsy are mandatory. Intravenous application of a second-generation cephalosporin as antibiotic has proven effective. We have been using cefuroxim for the past 10 years, changed if necessary according to the antibiogram. Parenteral antibiotic treatment is continued for an average of 3 weeks, followed by oral treatment for another 3 weeks. CRP normalisation monitors the cure from thedisease. Our 24 cases included 7 with group B streptococci 2 with Staphylococcus aureus, 2 with Staphylococcus epidermidis and 2 with Escherichia coli. In 8 cases no germs could be cultured; 6 of them had outside antibiotic treatment before being transferred. If treatment was initiated within 3 days, healing without residuals was the rule. In 18 cases with early and sufficient treatment no sequelae were observed. With delay of treatment for several days, moderate osteomyelitic changesof the neck and the acetabulum were observed. In a case with delay ofsurgical treatment for 5 weeks, complete destruction of the hip jointoccurred, causing a poor final result.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 09:03:00