Paediatric Osteomyelitis in Fiji
Introduction Osteomyelitis can lead to significant morbidity and long-term disability if early treatment is not initiated in a timely manner. For developing countries this can lead to a significant burden on the healthcare system. This study aims to describe the demographic variables, aetiology and...
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| Veröffentlicht in: | World journal of surgery 2018-12, Vol.42 (12), p.4118-4122 |
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| creator | Munshi, Basharat MacFater, Wiremu Hill, Andrew G. McCaig, Eddie H. |
| description | Introduction
Osteomyelitis can lead to significant morbidity and long-term disability if early treatment is not initiated in a timely manner. For developing countries this can lead to a significant burden on the healthcare system. This study aims to describe the demographic variables, aetiology and outcomes of treatment and to calculate the incidence of paediatric osteomyelitis in Fiji. The micro-organism profile and the outcomes for treatment were analysed.
Methods
This is a retrospective review of medical records of all paediatric patients presenting to hospitals in Fiji over a 5-year period (2006–2010) with a diagnosis of osteomyelitis. Data were collected from the three divisional hospitals in Fiji (Colonial War Memorial Hospital, Lautoka Hospital and Labasa Hospital).
Results
Two hundred and twenty patients were identified. An annual incidence of 18.1 cases/100,000 paediatric population was identified. The highest incidence was in the itaukei (ethnic Fijian) population (21 cases/100,000). Males were at a higher risk of developing osteomyelitis (20.8/10
5
vs. 10.7/10
5
).
Staphylococcus Aureus
was identified in 86% of all positive blood and 81% of all positive pus cultures, and it was sensitive to cloxacillin in 100% of cases. The most common factor identified preceding the development of osteomyelitis was trauma (55%) followed by skin sepsis (32%). Fifty-four per cent of the cases had chronic osteomyelitis, and the most common mode of presentation was in the form of an abscess (48%) followed by sinus/sequestrum (24%). The age group most commonly affected was between 5 and 9 years of age (19.6/10
5
). Children with chronic osteomyelitis were more likely to require operative intervention in addition to antibiotics as compared to acute osteomyelitis (85 vs. 24%). The success rate of treating acute osteomyelitis was 92% compared to 61% for chronic osteomyelitis.
Conclusion
Paediatric osteomyelitis poses a significant problem in Fiji, especially in the male, ethnic Fijian population between 5 and 9 years of age. The chance of complete resolution after treatment of acute osteomyelitis is very good. Therefore, interventions aimed at early diagnosis and treatments are required. |
| doi_str_mv | 10.1007/s00268-018-4743-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2078591588</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2076585720</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4229-3ffbbacf10aeff638d9fac2ad77b52f9c236ec8be6f2867f0d3665493904dd463</originalsourceid><addsrcrecordid>eNqFkEtLAzEUhYMotlZ_gBspuHEzevOYTLLUYn0gVFBxGTIziaTMoyYzSP-9KVMVBHF17-L7DoeD0DGGcwyQXQQAwkUCWCQsYzQhO2iMGSUJoYTuojFQzuKP6QgdhLAEwBkHvo9GFCDFhOExmj5qUzrdeVdMF6Ezbb02letcmLpmOndLd4j2rK6COdreCXqZXz_PbpOHxc3d7PIhKRghMqHW5rkuLAZtrOVUlNLqgugyy_KUWFkQyk0hcsMtETyzUFLOUyapBFaWjNMJOhtyV759703oVO1CYapKN6btgyKQiVTiVIiInv5Cl23vm9huQ_FUpBmBSOGBKnwbgjdWrbyrtV8rDGoznxrmU3E-tZlPkeicbJP7vDblt_G1VwTkAHy4yqz_T1Sv909Xc5AYy-iSwQ1Ra96M_6n9d6NPHpeJGw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2076585720</pqid></control><display><type>article</type><title>Paediatric Osteomyelitis in Fiji</title><source>MEDLINE</source><source>Wiley Online Library Journals</source><source>SpringerLink Journals - AutoHoldings</source><creator>Munshi, Basharat ; MacFater, Wiremu ; Hill, Andrew G. ; McCaig, Eddie H.</creator><creatorcontrib>Munshi, Basharat ; MacFater, Wiremu ; Hill, Andrew G. ; McCaig, Eddie H.</creatorcontrib><description>Introduction
Osteomyelitis can lead to significant morbidity and long-term disability if early treatment is not initiated in a timely manner. For developing countries this can lead to a significant burden on the healthcare system. This study aims to describe the demographic variables, aetiology and outcomes of treatment and to calculate the incidence of paediatric osteomyelitis in Fiji. The micro-organism profile and the outcomes for treatment were analysed.
Methods
This is a retrospective review of medical records of all paediatric patients presenting to hospitals in Fiji over a 5-year period (2006–2010) with a diagnosis of osteomyelitis. Data were collected from the three divisional hospitals in Fiji (Colonial War Memorial Hospital, Lautoka Hospital and Labasa Hospital).
Results
Two hundred and twenty patients were identified. An annual incidence of 18.1 cases/100,000 paediatric population was identified. The highest incidence was in the itaukei (ethnic Fijian) population (21 cases/100,000). Males were at a higher risk of developing osteomyelitis (20.8/10
5
vs. 10.7/10
5
).
Staphylococcus Aureus
was identified in 86% of all positive blood and 81% of all positive pus cultures, and it was sensitive to cloxacillin in 100% of cases. The most common factor identified preceding the development of osteomyelitis was trauma (55%) followed by skin sepsis (32%). Fifty-four per cent of the cases had chronic osteomyelitis, and the most common mode of presentation was in the form of an abscess (48%) followed by sinus/sequestrum (24%). The age group most commonly affected was between 5 and 9 years of age (19.6/10
5
). Children with chronic osteomyelitis were more likely to require operative intervention in addition to antibiotics as compared to acute osteomyelitis (85 vs. 24%). The success rate of treating acute osteomyelitis was 92% compared to 61% for chronic osteomyelitis.
Conclusion
Paediatric osteomyelitis poses a significant problem in Fiji, especially in the male, ethnic Fijian population between 5 and 9 years of age. The chance of complete resolution after treatment of acute osteomyelitis is very good. Therefore, interventions aimed at early diagnosis and treatments are required.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-018-4743-2</identifier><identifier>PMID: 30051241</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Acute Disease ; Adolescent ; Age ; Anti-Bacterial Agents - therapeutic use ; Antibiotics ; Biocompatibility ; Cardiac Surgery ; Child ; Child, Preschool ; Children ; Cloxacillin ; Demographic variables ; Demographics ; Developing countries ; Diagnosis ; Female ; Fiji - epidemiology ; General Surgery ; Health care ; Hospitals ; Humans ; Incidence ; LDCs ; Male ; Males ; Medical records ; Medicine ; Medicine & Public Health ; Morbidity ; Original Scientific Report ; Osteomyelitis ; Osteomyelitis - drug therapy ; Osteomyelitis - epidemiology ; Patients ; Retrospective Studies ; Sepsis ; Skin ; Surgery ; Thoracic Surgery ; Trauma ; Vascular Surgery</subject><ispartof>World journal of surgery, 2018-12, Vol.42 (12), p.4118-4122</ispartof><rights>Société Internationale de Chirurgie 2018</rights><rights>2018 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>World Journal of Surgery is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4229-3ffbbacf10aeff638d9fac2ad77b52f9c236ec8be6f2867f0d3665493904dd463</citedby><cites>FETCH-LOGICAL-c4229-3ffbbacf10aeff638d9fac2ad77b52f9c236ec8be6f2867f0d3665493904dd463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-018-4743-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-018-4743-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,41486,42555,45572,45573,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30051241$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Munshi, Basharat</creatorcontrib><creatorcontrib>MacFater, Wiremu</creatorcontrib><creatorcontrib>Hill, Andrew G.</creatorcontrib><creatorcontrib>McCaig, Eddie H.</creatorcontrib><title>Paediatric Osteomyelitis in Fiji</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Introduction
Osteomyelitis can lead to significant morbidity and long-term disability if early treatment is not initiated in a timely manner. For developing countries this can lead to a significant burden on the healthcare system. This study aims to describe the demographic variables, aetiology and outcomes of treatment and to calculate the incidence of paediatric osteomyelitis in Fiji. The micro-organism profile and the outcomes for treatment were analysed.
Methods
This is a retrospective review of medical records of all paediatric patients presenting to hospitals in Fiji over a 5-year period (2006–2010) with a diagnosis of osteomyelitis. Data were collected from the three divisional hospitals in Fiji (Colonial War Memorial Hospital, Lautoka Hospital and Labasa Hospital).
Results
Two hundred and twenty patients were identified. An annual incidence of 18.1 cases/100,000 paediatric population was identified. The highest incidence was in the itaukei (ethnic Fijian) population (21 cases/100,000). Males were at a higher risk of developing osteomyelitis (20.8/10
5
vs. 10.7/10
5
).
Staphylococcus Aureus
was identified in 86% of all positive blood and 81% of all positive pus cultures, and it was sensitive to cloxacillin in 100% of cases. The most common factor identified preceding the development of osteomyelitis was trauma (55%) followed by skin sepsis (32%). Fifty-four per cent of the cases had chronic osteomyelitis, and the most common mode of presentation was in the form of an abscess (48%) followed by sinus/sequestrum (24%). The age group most commonly affected was between 5 and 9 years of age (19.6/10
5
). Children with chronic osteomyelitis were more likely to require operative intervention in addition to antibiotics as compared to acute osteomyelitis (85 vs. 24%). The success rate of treating acute osteomyelitis was 92% compared to 61% for chronic osteomyelitis.
Conclusion
Paediatric osteomyelitis poses a significant problem in Fiji, especially in the male, ethnic Fijian population between 5 and 9 years of age. The chance of complete resolution after treatment of acute osteomyelitis is very good. Therefore, interventions aimed at early diagnosis and treatments are required.</description><subject>Abdominal Surgery</subject><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Age</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>Biocompatibility</subject><subject>Cardiac Surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Cloxacillin</subject><subject>Demographic variables</subject><subject>Demographics</subject><subject>Developing countries</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Fiji - epidemiology</subject><subject>General Surgery</subject><subject>Health care</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>LDCs</subject><subject>Male</subject><subject>Males</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morbidity</subject><subject>Original Scientific Report</subject><subject>Osteomyelitis</subject><subject>Osteomyelitis - drug therapy</subject><subject>Osteomyelitis - epidemiology</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Sepsis</subject><subject>Skin</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Trauma</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkEtLAzEUhYMotlZ_gBspuHEzevOYTLLUYn0gVFBxGTIziaTMoyYzSP-9KVMVBHF17-L7DoeD0DGGcwyQXQQAwkUCWCQsYzQhO2iMGSUJoYTuojFQzuKP6QgdhLAEwBkHvo9GFCDFhOExmj5qUzrdeVdMF6Ezbb02letcmLpmOndLd4j2rK6COdreCXqZXz_PbpOHxc3d7PIhKRghMqHW5rkuLAZtrOVUlNLqgugyy_KUWFkQyk0hcsMtETyzUFLOUyapBFaWjNMJOhtyV759703oVO1CYapKN6btgyKQiVTiVIiInv5Cl23vm9huQ_FUpBmBSOGBKnwbgjdWrbyrtV8rDGoznxrmU3E-tZlPkeicbJP7vDblt_G1VwTkAHy4yqz_T1Sv909Xc5AYy-iSwQ1Ra96M_6n9d6NPHpeJGw</recordid><startdate>201812</startdate><enddate>201812</enddate><creator>Munshi, Basharat</creator><creator>MacFater, Wiremu</creator><creator>Hill, Andrew G.</creator><creator>McCaig, Eddie H.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201812</creationdate><title>Paediatric Osteomyelitis in Fiji</title><author>Munshi, Basharat ; MacFater, Wiremu ; Hill, Andrew G. ; McCaig, Eddie H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4229-3ffbbacf10aeff638d9fac2ad77b52f9c236ec8be6f2867f0d3665493904dd463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abdominal Surgery</topic><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Age</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibiotics</topic><topic>Biocompatibility</topic><topic>Cardiac Surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Cloxacillin</topic><topic>Demographic variables</topic><topic>Demographics</topic><topic>Developing countries</topic><topic>Diagnosis</topic><topic>Female</topic><topic>Fiji - epidemiology</topic><topic>General Surgery</topic><topic>Health care</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>LDCs</topic><topic>Male</topic><topic>Males</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morbidity</topic><topic>Original Scientific Report</topic><topic>Osteomyelitis</topic><topic>Osteomyelitis - drug therapy</topic><topic>Osteomyelitis - epidemiology</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Sepsis</topic><topic>Skin</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><topic>Trauma</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Munshi, Basharat</creatorcontrib><creatorcontrib>MacFater, Wiremu</creatorcontrib><creatorcontrib>Hill, Andrew G.</creatorcontrib><creatorcontrib>McCaig, Eddie H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Munshi, Basharat</au><au>MacFater, Wiremu</au><au>Hill, Andrew G.</au><au>McCaig, Eddie H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Paediatric Osteomyelitis in Fiji</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2018-12</date><risdate>2018</risdate><volume>42</volume><issue>12</issue><spage>4118</spage><epage>4122</epage><pages>4118-4122</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Introduction
Osteomyelitis can lead to significant morbidity and long-term disability if early treatment is not initiated in a timely manner. For developing countries this can lead to a significant burden on the healthcare system. This study aims to describe the demographic variables, aetiology and outcomes of treatment and to calculate the incidence of paediatric osteomyelitis in Fiji. The micro-organism profile and the outcomes for treatment were analysed.
Methods
This is a retrospective review of medical records of all paediatric patients presenting to hospitals in Fiji over a 5-year period (2006–2010) with a diagnosis of osteomyelitis. Data were collected from the three divisional hospitals in Fiji (Colonial War Memorial Hospital, Lautoka Hospital and Labasa Hospital).
Results
Two hundred and twenty patients were identified. An annual incidence of 18.1 cases/100,000 paediatric population was identified. The highest incidence was in the itaukei (ethnic Fijian) population (21 cases/100,000). Males were at a higher risk of developing osteomyelitis (20.8/10
5
vs. 10.7/10
5
).
Staphylococcus Aureus
was identified in 86% of all positive blood and 81% of all positive pus cultures, and it was sensitive to cloxacillin in 100% of cases. The most common factor identified preceding the development of osteomyelitis was trauma (55%) followed by skin sepsis (32%). Fifty-four per cent of the cases had chronic osteomyelitis, and the most common mode of presentation was in the form of an abscess (48%) followed by sinus/sequestrum (24%). The age group most commonly affected was between 5 and 9 years of age (19.6/10
5
). Children with chronic osteomyelitis were more likely to require operative intervention in addition to antibiotics as compared to acute osteomyelitis (85 vs. 24%). The success rate of treating acute osteomyelitis was 92% compared to 61% for chronic osteomyelitis.
Conclusion
Paediatric osteomyelitis poses a significant problem in Fiji, especially in the male, ethnic Fijian population between 5 and 9 years of age. The chance of complete resolution after treatment of acute osteomyelitis is very good. Therefore, interventions aimed at early diagnosis and treatments are required.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>30051241</pmid><doi>10.1007/s00268-018-4743-2</doi><tpages>5</tpages></addata></record> |
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| subjects | Abdominal Surgery Acute Disease Adolescent Age Anti-Bacterial Agents - therapeutic use Antibiotics Biocompatibility Cardiac Surgery Child Child, Preschool Children Cloxacillin Demographic variables Demographics Developing countries Diagnosis Female Fiji - epidemiology General Surgery Health care Hospitals Humans Incidence LDCs Male Males Medical records Medicine Medicine & Public Health Morbidity Original Scientific Report Osteomyelitis Osteomyelitis - drug therapy Osteomyelitis - epidemiology Patients Retrospective Studies Sepsis Skin Surgery Thoracic Surgery Trauma Vascular Surgery |
| title | Paediatric Osteomyelitis in Fiji |
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