A prospective study of pyogenic sepsis of the hip in childhood
Between September 2004 and December 2005 we carried out a prospective study of all cases of sepsis of the hip in childhood at a South African regional hospital with a large local population, and which also took referrals from nine rural hospitals. The clinical, radiological, ultrasound and bacteriol...
Gespeichert in:
| Veröffentlicht in: | Journal of bone and joint surgery. British volume 2007, Vol.89 (1), p.100-106 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 106 |
|---|---|
| container_issue | 1 |
| container_start_page | 100 |
| container_title | Journal of bone and joint surgery. British volume |
| container_volume | 89 |
| creator | NUNN, T. R CHEUNG, W. Y ROLLINSON, P. D |
| description | Between September 2004 and December 2005 we carried out a prospective study of all cases of sepsis of the hip in childhood at a South African regional hospital with a large local population, and which also took referrals from nine rural hospitals. The clinical, radiological, ultrasound and bacteriological features were assessed. All the hips were drained by arthrotomy and the diagnosis was confirmed microbiologically and histologically. Hips with tuberculosis were excluded. The children were reviewed in a dedicated clinic at a mean follow-up of 8.1 months (3 to 18). There were 40 hips with sepsis in 38 patients. Two patients were lost to follow-up. Nine (24%) had multi-focal sepsis. Overall, 13 hips (34%) had a full and uncomplicated clinical and radiological recovery and 25 (66%) had complications. All patients treated by arthrotomy and appropriate antibiotics within five days of the onset of symptoms had an uncomplicated recovery. Initial misdiagnosis was associated with a delay to arthrotomy. However, 'deprivation', consultation with a traditional healer, maternal educational attainment and distance to a primary health-care facility were not associated with delay to arthrotomy. The early correct diagnosis of this condition, common in the developing world, remains a significant factor in improving the clinical outcome. |
| doi_str_mv | 10.1302/0301-620X.89B1.17940 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68954074</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68954074</sourcerecordid><originalsourceid>FETCH-LOGICAL-c408t-3e59b450a9ca0d665672a83fd80679af7b372c63ba09e1582ac5b44261f24cb63</originalsourceid><addsrcrecordid>eNpdkNtKw0AQhhdRbD28gUgQ9C519py9EWrxBAVvFLxbNpuN3ZImMZsIfXsTGyx4NTB8_8_Mh9AFhhmmQG6BAo4FgY9Zou7xDEvF4ABNCTAWcyrlIZr-IRN0EsIaABjn9BhNsCRcMcKn6G4e1U0Vamdb_-2i0HbZNqryqN5Wn670NgquDj4Mq3blopWvI19GduWLbFVV2Rk6yk0R3Pk4T9H748Pb4jlevj69LObL2DJI2pg6rlLGwShrIBOCC0lMQvMsASGVyWVKJbGCpgaUwzwhxvKUMSJwTphNBT1FN7ve_tivzoVWb3ywrihM6aouaJEozkCyHrz6B66rrin72zQhSqge4z3EdpDtXw-Ny3Xd-I1pthqDHuTqwZwezOlBrv6V28cux-4u3bhsHxpt9sD1CJhgTZE3prQ-7LmEAxZA6Q85EX_j</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>229699545</pqid></control><display><type>article</type><title>A prospective study of pyogenic sepsis of the hip in childhood</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>NUNN, T. R ; CHEUNG, W. Y ; ROLLINSON, P. D</creator><creatorcontrib>NUNN, T. R ; CHEUNG, W. Y ; ROLLINSON, P. D</creatorcontrib><description>Between September 2004 and December 2005 we carried out a prospective study of all cases of sepsis of the hip in childhood at a South African regional hospital with a large local population, and which also took referrals from nine rural hospitals. The clinical, radiological, ultrasound and bacteriological features were assessed. All the hips were drained by arthrotomy and the diagnosis was confirmed microbiologically and histologically. Hips with tuberculosis were excluded. The children were reviewed in a dedicated clinic at a mean follow-up of 8.1 months (3 to 18). There were 40 hips with sepsis in 38 patients. Two patients were lost to follow-up. Nine (24%) had multi-focal sepsis. Overall, 13 hips (34%) had a full and uncomplicated clinical and radiological recovery and 25 (66%) had complications. All patients treated by arthrotomy and appropriate antibiotics within five days of the onset of symptoms had an uncomplicated recovery. Initial misdiagnosis was associated with a delay to arthrotomy. However, 'deprivation', consultation with a traditional healer, maternal educational attainment and distance to a primary health-care facility were not associated with delay to arthrotomy. The early correct diagnosis of this condition, common in the developing world, remains a significant factor in improving the clinical outcome.</description><edition>British volume</edition><identifier>ISSN: 0301-620X</identifier><identifier>ISSN: 2049-4394</identifier><identifier>EISSN: 2044-5377</identifier><identifier>EISSN: 2049-4408</identifier><identifier>DOI: 10.1302/0301-620X.89B1.17940</identifier><identifier>PMID: 17259425</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Adolescent ; Anti-Bacterial Agents - therapeutic use ; Arthritis, Infectious - complications ; Arthritis, Infectious - diagnosis ; Arthritis, Infectious - therapy ; Bacterial diseases ; Bacterial Infections - complications ; Bacterial Infections - diagnosis ; Bacterial Infections - therapy ; Biological and medical sciences ; Child ; Child, Preschool ; Combined Modality Therapy ; Developing Countries ; Diagnosis, Differential ; Diseases of the osteoarticular system ; Female ; Femur Head Necrosis - etiology ; Hip Joint - diagnostic imaging ; Hip Joint - surgery ; Human bacterial diseases ; Humans ; Infant ; Infant, Newborn ; Infectious diseases ; Male ; Medical sciences ; Orthopedic surgery ; Prospective Studies ; Radiography ; South Africa ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Time Factors ; Treatment Outcome ; Tuberculosis and atypical mycobacterial infections ; Ultrasonography</subject><ispartof>Journal of bone and joint surgery. British volume, 2007, Vol.89 (1), p.100-106</ispartof><rights>2007 INIST-CNRS</rights><rights>Copyright British Editorial Society of Bone & Joint Surgery Jan 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-3e59b450a9ca0d665672a83fd80679af7b372c63ba09e1582ac5b44261f24cb63</citedby><cites>FETCH-LOGICAL-c408t-3e59b450a9ca0d665672a83fd80679af7b372c63ba09e1582ac5b44261f24cb63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,4012,27906,27907,27908</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18501603$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17259425$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NUNN, T. R</creatorcontrib><creatorcontrib>CHEUNG, W. Y</creatorcontrib><creatorcontrib>ROLLINSON, P. D</creatorcontrib><title>A prospective study of pyogenic sepsis of the hip in childhood</title><title>Journal of bone and joint surgery. British volume</title><addtitle>J Bone Joint Surg Br</addtitle><description>Between September 2004 and December 2005 we carried out a prospective study of all cases of sepsis of the hip in childhood at a South African regional hospital with a large local population, and which also took referrals from nine rural hospitals. The clinical, radiological, ultrasound and bacteriological features were assessed. All the hips were drained by arthrotomy and the diagnosis was confirmed microbiologically and histologically. Hips with tuberculosis were excluded. The children were reviewed in a dedicated clinic at a mean follow-up of 8.1 months (3 to 18). There were 40 hips with sepsis in 38 patients. Two patients were lost to follow-up. Nine (24%) had multi-focal sepsis. Overall, 13 hips (34%) had a full and uncomplicated clinical and radiological recovery and 25 (66%) had complications. All patients treated by arthrotomy and appropriate antibiotics within five days of the onset of symptoms had an uncomplicated recovery. Initial misdiagnosis was associated with a delay to arthrotomy. However, 'deprivation', consultation with a traditional healer, maternal educational attainment and distance to a primary health-care facility were not associated with delay to arthrotomy. The early correct diagnosis of this condition, common in the developing world, remains a significant factor in improving the clinical outcome.</description><subject>Adolescent</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Arthritis, Infectious - complications</subject><subject>Arthritis, Infectious - diagnosis</subject><subject>Arthritis, Infectious - therapy</subject><subject>Bacterial diseases</subject><subject>Bacterial Infections - complications</subject><subject>Bacterial Infections - diagnosis</subject><subject>Bacterial Infections - therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Combined Modality Therapy</subject><subject>Developing Countries</subject><subject>Diagnosis, Differential</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Femur Head Necrosis - etiology</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Joint - surgery</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>South Africa</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Ultrasonography</subject><issn>0301-620X</issn><issn>2049-4394</issn><issn>2044-5377</issn><issn>2049-4408</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkNtKw0AQhhdRbD28gUgQ9C519py9EWrxBAVvFLxbNpuN3ZImMZsIfXsTGyx4NTB8_8_Mh9AFhhmmQG6BAo4FgY9Zou7xDEvF4ABNCTAWcyrlIZr-IRN0EsIaABjn9BhNsCRcMcKn6G4e1U0Vamdb_-2i0HbZNqryqN5Wn670NgquDj4Mq3blopWvI19GduWLbFVV2Rk6yk0R3Pk4T9H748Pb4jlevj69LObL2DJI2pg6rlLGwShrIBOCC0lMQvMsASGVyWVKJbGCpgaUwzwhxvKUMSJwTphNBT1FN7ve_tivzoVWb3ywrihM6aouaJEozkCyHrz6B66rrin72zQhSqge4z3EdpDtXw-Ny3Xd-I1pthqDHuTqwZwezOlBrv6V28cux-4u3bhsHxpt9sD1CJhgTZE3prQ-7LmEAxZA6Q85EX_j</recordid><startdate>2007</startdate><enddate>2007</enddate><creator>NUNN, T. R</creator><creator>CHEUNG, W. Y</creator><creator>ROLLINSON, P. D</creator><general>British Editorial Society of Bone and Joint Surgery</general><general>British Editorial Society of Bone & Joint Surgery</general><scope>IQODW</scope><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>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>2007</creationdate><title>A prospective study of pyogenic sepsis of the hip in childhood</title><author>NUNN, T. R ; CHEUNG, W. Y ; ROLLINSON, P. D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-3e59b450a9ca0d665672a83fd80679af7b372c63ba09e1582ac5b44261f24cb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Arthritis, Infectious - complications</topic><topic>Arthritis, Infectious - diagnosis</topic><topic>Arthritis, Infectious - therapy</topic><topic>Bacterial diseases</topic><topic>Bacterial Infections - complications</topic><topic>Bacterial Infections - diagnosis</topic><topic>Bacterial Infections - therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Combined Modality Therapy</topic><topic>Developing Countries</topic><topic>Diagnosis, Differential</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Femur Head Necrosis - etiology</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Hip Joint - surgery</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>South Africa</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NUNN, T. R</creatorcontrib><creatorcontrib>CHEUNG, W. Y</creatorcontrib><creatorcontrib>ROLLINSON, P. D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of bone and joint surgery. British volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NUNN, T. R</au><au>CHEUNG, W. Y</au><au>ROLLINSON, P. D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A prospective study of pyogenic sepsis of the hip in childhood</atitle><jtitle>Journal of bone and joint surgery. British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>2007</date><risdate>2007</risdate><volume>89</volume><issue>1</issue><spage>100</spage><epage>106</epage><pages>100-106</pages><issn>0301-620X</issn><issn>2049-4394</issn><eissn>2044-5377</eissn><eissn>2049-4408</eissn><coden>JBSUAK</coden><abstract>Between September 2004 and December 2005 we carried out a prospective study of all cases of sepsis of the hip in childhood at a South African regional hospital with a large local population, and which also took referrals from nine rural hospitals. The clinical, radiological, ultrasound and bacteriological features were assessed. All the hips were drained by arthrotomy and the diagnosis was confirmed microbiologically and histologically. Hips with tuberculosis were excluded. The children were reviewed in a dedicated clinic at a mean follow-up of 8.1 months (3 to 18). There were 40 hips with sepsis in 38 patients. Two patients were lost to follow-up. Nine (24%) had multi-focal sepsis. Overall, 13 hips (34%) had a full and uncomplicated clinical and radiological recovery and 25 (66%) had complications. All patients treated by arthrotomy and appropriate antibiotics within five days of the onset of symptoms had an uncomplicated recovery. Initial misdiagnosis was associated with a delay to arthrotomy. However, 'deprivation', consultation with a traditional healer, maternal educational attainment and distance to a primary health-care facility were not associated with delay to arthrotomy. The early correct diagnosis of this condition, common in the developing world, remains a significant factor in improving the clinical outcome.</abstract><cop>London</cop><pub>British Editorial Society of Bone and Joint Surgery</pub><pmid>17259425</pmid><doi>10.1302/0301-620X.89B1.17940</doi><tpages>7</tpages><edition>British volume</edition><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0301-620X |
| ispartof | Journal of bone and joint surgery. British volume, 2007, Vol.89 (1), p.100-106 |
| issn | 0301-620X 2049-4394 2044-5377 2049-4408 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68954074 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Anti-Bacterial Agents - therapeutic use Arthritis, Infectious - complications Arthritis, Infectious - diagnosis Arthritis, Infectious - therapy Bacterial diseases Bacterial Infections - complications Bacterial Infections - diagnosis Bacterial Infections - therapy Biological and medical sciences Child Child, Preschool Combined Modality Therapy Developing Countries Diagnosis, Differential Diseases of the osteoarticular system Female Femur Head Necrosis - etiology Hip Joint - diagnostic imaging Hip Joint - surgery Human bacterial diseases Humans Infant Infant, Newborn Infectious diseases Male Medical sciences Orthopedic surgery Prospective Studies Radiography South Africa Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Time Factors Treatment Outcome Tuberculosis and atypical mycobacterial infections Ultrasonography |
| title | A prospective study of pyogenic sepsis of the hip in childhood |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T23%3A46%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20prospective%20study%20of%20pyogenic%20sepsis%20of%20the%20hip%20in%20childhood&rft.jtitle=Journal%20of%20bone%20and%20joint%20surgery.%20British%20volume&rft.au=NUNN,%20T.%20R&rft.date=2007&rft.volume=89&rft.issue=1&rft.spage=100&rft.epage=106&rft.pages=100-106&rft.issn=0301-620X&rft.eissn=2044-5377&rft.coden=JBSUAK&rft_id=info:doi/10.1302/0301-620X.89B1.17940&rft_dat=%3Cproquest_cross%3E68954074%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=229699545&rft_id=info:pmid/17259425&rfr_iscdi=true |