Retrospective analysis of diagnostics and treatment of acute hematogenous osteomyelitis in children based on clinical, anamnestic and microbiological characteristics

Authors

  • L. F. Pritulo

DOI:

https://doi.org/10.14739/2310-1210.2012.6.18010

Keywords:

acute hematogenous osteomyelitis, diagnostic, treatment, children

Abstract

Clinical, anamnestic and microbiological parameters for last 10 years were studied in 110 children with an acute hematogenous osteomyelitis. It is shown, that major factors for occurrence of an acute hematogenous osteomyelitis in children are infl ammatory diseases of nasopharyngeal and
dental-maxillary system, purulent diseases of skin and hypodermal layer, pneumonia and fl u infection, traumas of bones. During microbiological analysis it is established, that gram-positive microfl ora prevails at local and septic form, and gram-negative microfl ora - at toxic one. Presence
of positive hemoculture and clinical signs in patients with septic and toxic forms at entering the hospital testifi es to presence of a septic infection and sepsis. Method of choice for treatment of an acute hematogenous osteomyelitis in children is osteoperforation with sanitation and drain of the marrow channel, and at presence of osteomyelitic phlegmonas - it is its opening and drainage in combination with anti-intoxication therapy, discrete plasmophoresis and immunotherapy.

References

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How to Cite

1.
Pritulo LF. Retrospective analysis of diagnostics and treatment of acute hematogenous osteomyelitis in children based on clinical, anamnestic and microbiological characteristics. Zaporozhye Medical Journal [Internet]. 2013Oct.22 [cited 2024Dec.20];(6). Available from: http://zmj.zsmu.edu.ua/article/view/18010

Issue

No. 6 (2012)

Section

Original research

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