Volume 35, Issue 10 (12-2024)
Studies in Medical Sciences 2024, 35(10): 834-841 |
Back to browse issues page
Research code: IR.UMSU.REC.1400.095
Ethics code: IR.UMSU.REC.1400.095
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Sefidi M, Sadeghi E, Nasimfar A. THE FREQUENCY OF CLINICAL, DEMOGRAPHIC, AND LABORATORY FEATURES OF PATIENTS ADMITTED TO MOTAHARI HOSPITAL WITH OSTEOMYELITIS FROM 2011 TO 2021. Studies in Medical Sciences 2024; 35 (10) :834-841
URL: http://umj.umsu.ac.ir/article-1-6381-en.html
URL: http://umj.umsu.ac.ir/article-1-6381-en.html
Associate Professor, Infectious Diseases Subspecialist, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) , sadeghi.e@umsu.ac.ir
Abstract: (627 Views)
Background & Aims: Osteomyelitis is a bone infection, most commonly transmitted hematogenously; however, it can also be transmitted through other routes, such as direct spread or fractures. The most common age of occurrence of this disease is 3 to 12 years, and it is twice as common in males as in females. In 50% of cases, Staphylococcus aureus is the causative microorganism. The present study was designed and implemented to investigate the clinical, demographic, and laboratory characteristics of patients diagnosed with osteomyelitis admitted to Shahid Motahari Hospital from 2011 to 2021.
Materials & Methods: In this descriptive cross-sectional study, all medical records of patients diagnosed and treated for osteomyelitis at Shahid Motahari Hospital in Urmia from 2011 to 2021 were extracted. The required information was collected using a checklist. An ESR above 30 was considered abnormal, and a CRP slightly above 6 mg/dL was considered positive. The data were entered into SPSS software version 20 and analyzed.
Results: In this study, 59% of patients were boys. Most patients (34.6%) were in the age group of 60–120 months. The most common clinical symptoms, in order of prevalence, were localized pain (83.3%), edema (79.5%), redness (60.3%), limited range of motion (55.7%), tachycardia (53.8%), and non-weight bearing (51.3%). The most common sites of involvement were the tibia (35.9%) and femur (24.4%). A history of trauma was reported in 34 patients (43.6%).
Conclusion: The majority of patients were boys, and a high percentage had a history of trauma. Given the high prevalence of osteomyelitis in boys and the role of trauma in causing the disease, more attention is needed to prevent bone injuries in children. Additionally, early diagnosis and prompt treatment play an important role in reducing the serious consequences of this disease. Increasing awareness among physicians and parents about the symptoms of osteomyelitis can help reduce cases of late diagnosis and its complications.
Materials & Methods: In this descriptive cross-sectional study, all medical records of patients diagnosed and treated for osteomyelitis at Shahid Motahari Hospital in Urmia from 2011 to 2021 were extracted. The required information was collected using a checklist. An ESR above 30 was considered abnormal, and a CRP slightly above 6 mg/dL was considered positive. The data were entered into SPSS software version 20 and analyzed.
Results: In this study, 59% of patients were boys. Most patients (34.6%) were in the age group of 60–120 months. The most common clinical symptoms, in order of prevalence, were localized pain (83.3%), edema (79.5%), redness (60.3%), limited range of motion (55.7%), tachycardia (53.8%), and non-weight bearing (51.3%). The most common sites of involvement were the tibia (35.9%) and femur (24.4%). A history of trauma was reported in 34 patients (43.6%).
Conclusion: The majority of patients were boys, and a high percentage had a history of trauma. Given the high prevalence of osteomyelitis in boys and the role of trauma in causing the disease, more attention is needed to prevent bone injuries in children. Additionally, early diagnosis and prompt treatment play an important role in reducing the serious consequences of this disease. Increasing awareness among physicians and parents about the symptoms of osteomyelitis can help reduce cases of late diagnosis and its complications.
Type of Study: Research |
Subject:
Pediatric Infectious Disease
References
1. Klenerman L. A history of osteomyelitis from the Journal of Bone and Joint Surgery: 1948 to 2006. J Bone Joint Surg Br 2007;89(5):667-70. [DOI:10.1302/0301-620X.89B5.19170] [PMID]
2. Peltola H, Pääkkönen M, Kallio P, Kallio MJ, Group O-SAS. Short- versus long-term antimicrobial treatment for acute hematogenous osteomyelitis of childhood: prospective, randomized trial on 131 culture-positive cases. Pediatr Infect Dis J 2010;29(12):1123-8. [DOI:10.1097/INF.0b013e3181f55a89] [PMID]
3. Cherry J, Demmler-Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ. Feigin and Cherry's Textbook of Pediatric Infectious Diseases E-Book: 2-Volume Set. Elsevier Health Sciences; 2013. [google scholar]
4. Peltola H, Pääkkönen M. Acute osteomyelitis in children. N Engl J Med 2014;370(4):352-60. [DOI:10.1056/NEJMra1213956] [PMID]
5. Riise ØR, Kirkhus E, Handeland KS, Flatø B, Reiseter T, Cvancarova M, et al. Childhood osteomyelitis-incidence and differentiation from other acute onset musculoskeletal features in a population-based study. BMC Pediatr 2008;8(1):1-10. [DOI:10.1186/1471-2431-8-45] [PMID] []
6. Faust SN, Clark J, Pallett A, Clarke NM. Managing bone and joint infection in children. Arch Dis Child 2012;97(6):545-53. [DOI:10.1136/archdischild-2011-301089] [PMID]
7. Thakolkaran N, Shetty AK. Acute hematogenous osteomyelitis in children. Ochsner J 2019;19(2):116-22. [DOI:10.31486/toj.18.0138] [PMID] []
8. Saavedra-Lozano J, Falup-Pecurariu O, Faust SN, Girschick H, Hartwig N, Kaplan S, et al. Bone and joint infections. Pediatr Infect Dis J 2017;36(8):788-99. [DOI:10.1097/INF.0000000000001635] [PMID]
9. Dodwell ER. Osteomyelitis and septic arthritis in children: current concepts. Curr Opin Pediatr 2013;25(1):58-63. [DOI:10.1097/MOP.0b013e32835c2b42] [PMID]
10. Ju KL, Zurakowski D, Kocher MS. Differentiating between methicillin-resistant and methicillin-sensitive Staphylococcus aureus osteomyelitis in children: an evidence-based clinical prediction algorithm. JBJS 2011;93(18):1693-701. [DOI:10.2106/JBJS.J.01154] [PMID]
11. Iliadis AD, Ramachandran M. Paediatric bone and joint infection. EFORT Open Rev 2017;2(1):7-12. [DOI:10.1302/2058-5241.2.160027] [PMID] []
12. Krogstad P, Phillips WA. Hematogenous osteomyelitis in children: Evaluation and diagnosis. [google scholar]
13. Harris JC, Caesar DH, Davison C, Phibbs R, Than MP. How useful are laboratory investigations in the emergency department evaluation of possible osteomyelitis? Emerg Med Australas 2011;23(3):317-30. [DOI:10.1111/j.1742-6723.2011.01413.x] [PMID]
14. Dartnell J, Ramachandran M, Katchburian M. Haematogenous acute and subacute paediatric osteomyelitis: a systematic review of the literature. J Bone Joint Surg Br 2012;94(5):584-95. [DOI:10.1302/0301-620X.94B5.28523] [PMID]
15. Pääkkönen M, Kallio MJ, Kallio PE, Peltola H. Sensitivity of erythrocyte sedimentation rate and C-reactive protein in childhood bone and joint infections. Clin Orthop Relat Res 2010;468(3):861-6. [DOI:10.1007/s11999-009-0936-1] [PMID] []
16. Mahmoudi S, Pourakbari B, Borhani K, Khodabandeh M, Valian SK, Aziz-Ahari A, et al. Acute osteomyelitis and septic arthritis in children. Wien Med Wochenschr 2017;167(11):259-63. [DOI:10.1007/s10354-017-0583-1] [PMID]
17. Bouchoucha S, Drissi G, Trifa M, Saied W, Ammar C, Smida M, et al. Epidemiology of acute hematogenous osteomyelitis in children: a prospective study over a 32 months period. Tunis Med 2012;90(6):473-8. [PMID: 22693089]
18. Shivarathre D, George H, Kaimal N, James L. Epidemiology of acute haematogenous osteomyelitis in children--A single unit's experience over three different time-periods. Acta Orthop Belg 2009;75(1):81-6. [PMID: 19358404]
19. Amini E, Daneshjou Kh, Ghasemi M. A 17-year study of septic arthritis in neonates in two University Hospitals. Tehran Univ Med J 2007;65(5):33-38. [google scholar]
20. Mamishi S, Kalantari N, Pourakbari B. Clinical feature and etiology of septic arthritis and osteomyelitis in children in a 10 year period. Acta Medica Iranica 2007;45(1):58-62. [google scholar]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
