The Beit CURE Classification of Childhood Chronic Haematogenous Osteomyelitis--a guide to treatment
The Beit CURE (BC) classification is a radiographic classification used in childhood chronic haematogenous osteomyelitis. The aim of this study is to assess correlation between this classification and the type and extent of treatment required. We present a retrospective series of 145 cases of childh...
Gespeichert in:
| Veröffentlicht in: | Journal of orthopaedic surgery and research 2015-09, Vol.10 (1), p.144-144, Article 144 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 144 |
|---|---|
| container_issue | 1 |
| container_start_page | 144 |
| container_title | Journal of orthopaedic surgery and research |
| container_volume | 10 |
| creator | Stevenson, Andrew J Jones, Henry Wynn Chokotho, Linda C Beckles, Verona L L Harrison, William J |
| description | The Beit CURE (BC) classification is a radiographic classification used in childhood chronic haematogenous osteomyelitis. The aim of this study is to assess correlation between this classification and the type and extent of treatment required.
We present a retrospective series of 145 cases of childhood chronic haematogenous osteomyelitis classified using the BC classification. Variables measured include age, sex, bone involved, number of admissions, length of stay, type/number of operations and microbiology.
The most commonly affected bone was the tibia (46%), followed by femur (26%) and humerus (10%). Bone defects were most common in the tibia. Staphylococcus aureus was the most commonly isolated organism. Type B, sequestrum type, was the most common (88%), followed by type C, sclerotic type, (7%) and type A, Brodie's abscess (5%). Types A and B1 had the shortest length of hospitalisation (11 days), type B4 had the longest (87 days). Types A and B1 had the fewest infection control operations. Type B4 had the greatest total number of operations.
This study shows that the BC classification can guide surgical strategy and help predict length of inpatient treatment and number and type of procedures required. |
| doi_str_mv | 10.1186/s13018-015-0282-9 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4573297</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A541557704</galeid><sourcerecordid>A541557704</sourcerecordid><originalsourceid>FETCH-LOGICAL-c494t-32ef0f230f20aabea7a7c9420d0af871e87791190451c7f97b544260588df823</originalsourceid><addsrcrecordid>eNptUtFqHCEUldLSpGk_oC9F6EtfTNXRVV8KyZA2hUCgbKFv4jrXXcPMmKpTyN_XZdM0KUXEi55zrkcPQm8ZPWVMrz4W1lGmCWWSUK45Mc_QMVPCEGXMj-eP6iP0qpQbSiWVWrxER3zVacGpPkZ-vQN8DrHi_vu3C9yPrpQYonc1phmngPtdHIddSkOrcpqjx5cOJlfTFua0FHxdKqTpDsZYYyHE4e0SB8A14ZrB1Qnm-hq9CG4s8OZ-PUHrzxfr_pJcXX_52p9dES-MqKTjEGjgXZvUuQ045ZQ37ZoDdUErBlopw5ihQjKvglEbKQRfNUt6CJp3J-jTQfZ22Uww-NY5u9He5ji5fGeTi_bpyRx3dpt-WSFVx41qAh_uBXL6uUCpdorFwzi6GZpVyxRbtftIphv0_T_Qm7TkublrKN0-RSkl_qK2bgQb55BaX78XtWdSMCmVonvU6X9QbQwwRZ9mCLHtPyGwA8HnVEqG8OCRUbsPhj0Ew7Zg2H0wrGmcd48f54HxJwndb7QXsm4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1780187774</pqid></control><display><type>article</type><title>The Beit CURE Classification of Childhood Chronic Haematogenous Osteomyelitis--a guide to treatment</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>SpringerNature Journals</source><source>PubMed Central Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Springer Nature OA/Free Journals</source><creator>Stevenson, Andrew J ; Jones, Henry Wynn ; Chokotho, Linda C ; Beckles, Verona L L ; Harrison, William J</creator><creatorcontrib>Stevenson, Andrew J ; Jones, Henry Wynn ; Chokotho, Linda C ; Beckles, Verona L L ; Harrison, William J</creatorcontrib><description>The Beit CURE (BC) classification is a radiographic classification used in childhood chronic haematogenous osteomyelitis. The aim of this study is to assess correlation between this classification and the type and extent of treatment required.
We present a retrospective series of 145 cases of childhood chronic haematogenous osteomyelitis classified using the BC classification. Variables measured include age, sex, bone involved, number of admissions, length of stay, type/number of operations and microbiology.
The most commonly affected bone was the tibia (46%), followed by femur (26%) and humerus (10%). Bone defects were most common in the tibia. Staphylococcus aureus was the most commonly isolated organism. Type B, sequestrum type, was the most common (88%), followed by type C, sclerotic type, (7%) and type A, Brodie's abscess (5%). Types A and B1 had the shortest length of hospitalisation (11 days), type B4 had the longest (87 days). Types A and B1 had the fewest infection control operations. Type B4 had the greatest total number of operations.
This study shows that the BC classification can guide surgical strategy and help predict length of inpatient treatment and number and type of procedures required.</description><identifier>ISSN: 1749-799X</identifier><identifier>EISSN: 1749-799X</identifier><identifier>DOI: 10.1186/s13018-015-0282-9</identifier><identifier>PMID: 26384208</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; Antibiotics ; Care and treatment ; Child ; Child, Preschool ; Chronic Disease ; Classification ; College admissions ; Defects ; Diagnosis ; Disease ; Female ; Hospitals ; Humans ; Infant ; Infections ; Length of Stay - trends ; Male ; Orthopedics ; Osteomyelitis ; Osteomyelitis - classification ; Osteomyelitis - diagnostic imaging ; Osteomyelitis - surgery ; Patient outcomes ; Practice Guidelines as Topic - standards ; Radiography ; Retrospective Studies ; Risk factors ; Staphylococcus aureus ; Studies ; Treatment Outcome</subject><ispartof>Journal of orthopaedic surgery and research, 2015-09, Vol.10 (1), p.144-144, Article 144</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2015</rights><rights>Stevenson et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-32ef0f230f20aabea7a7c9420d0af871e87791190451c7f97b544260588df823</citedby><cites>FETCH-LOGICAL-c494t-32ef0f230f20aabea7a7c9420d0af871e87791190451c7f97b544260588df823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573297/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573297/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26384208$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stevenson, Andrew J</creatorcontrib><creatorcontrib>Jones, Henry Wynn</creatorcontrib><creatorcontrib>Chokotho, Linda C</creatorcontrib><creatorcontrib>Beckles, Verona L L</creatorcontrib><creatorcontrib>Harrison, William J</creatorcontrib><title>The Beit CURE Classification of Childhood Chronic Haematogenous Osteomyelitis--a guide to treatment</title><title>Journal of orthopaedic surgery and research</title><addtitle>J Orthop Surg Res</addtitle><description>The Beit CURE (BC) classification is a radiographic classification used in childhood chronic haematogenous osteomyelitis. The aim of this study is to assess correlation between this classification and the type and extent of treatment required.
We present a retrospective series of 145 cases of childhood chronic haematogenous osteomyelitis classified using the BC classification. Variables measured include age, sex, bone involved, number of admissions, length of stay, type/number of operations and microbiology.
The most commonly affected bone was the tibia (46%), followed by femur (26%) and humerus (10%). Bone defects were most common in the tibia. Staphylococcus aureus was the most commonly isolated organism. Type B, sequestrum type, was the most common (88%), followed by type C, sclerotic type, (7%) and type A, Brodie's abscess (5%). Types A and B1 had the shortest length of hospitalisation (11 days), type B4 had the longest (87 days). Types A and B1 had the fewest infection control operations. Type B4 had the greatest total number of operations.
This study shows that the BC classification can guide surgical strategy and help predict length of inpatient treatment and number and type of procedures required.</description><subject>Adolescent</subject><subject>Antibiotics</subject><subject>Care and treatment</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Chronic Disease</subject><subject>Classification</subject><subject>College admissions</subject><subject>Defects</subject><subject>Diagnosis</subject><subject>Disease</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Infections</subject><subject>Length of Stay - trends</subject><subject>Male</subject><subject>Orthopedics</subject><subject>Osteomyelitis</subject><subject>Osteomyelitis - classification</subject><subject>Osteomyelitis - diagnostic imaging</subject><subject>Osteomyelitis - surgery</subject><subject>Patient outcomes</subject><subject>Practice Guidelines as Topic - standards</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Staphylococcus aureus</subject><subject>Studies</subject><subject>Treatment Outcome</subject><issn>1749-799X</issn><issn>1749-799X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptUtFqHCEUldLSpGk_oC9F6EtfTNXRVV8KyZA2hUCgbKFv4jrXXcPMmKpTyN_XZdM0KUXEi55zrkcPQm8ZPWVMrz4W1lGmCWWSUK45Mc_QMVPCEGXMj-eP6iP0qpQbSiWVWrxER3zVacGpPkZ-vQN8DrHi_vu3C9yPrpQYonc1phmngPtdHIddSkOrcpqjx5cOJlfTFua0FHxdKqTpDsZYYyHE4e0SB8A14ZrB1Qnm-hq9CG4s8OZ-PUHrzxfr_pJcXX_52p9dES-MqKTjEGjgXZvUuQ045ZQ37ZoDdUErBlopw5ihQjKvglEbKQRfNUt6CJp3J-jTQfZ22Uww-NY5u9He5ji5fGeTi_bpyRx3dpt-WSFVx41qAh_uBXL6uUCpdorFwzi6GZpVyxRbtftIphv0_T_Qm7TkublrKN0-RSkl_qK2bgQb55BaX78XtWdSMCmVonvU6X9QbQwwRZ9mCLHtPyGwA8HnVEqG8OCRUbsPhj0Ew7Zg2H0wrGmcd48f54HxJwndb7QXsm4</recordid><startdate>20150917</startdate><enddate>20150917</enddate><creator>Stevenson, Andrew J</creator><creator>Jones, Henry Wynn</creator><creator>Chokotho, Linda C</creator><creator>Beckles, Verona L L</creator><creator>Harrison, William J</creator><general>BioMed Central Ltd</general><general>BioMed Central</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>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150917</creationdate><title>The Beit CURE Classification of Childhood Chronic Haematogenous Osteomyelitis--a guide to treatment</title><author>Stevenson, Andrew J ; Jones, Henry Wynn ; Chokotho, Linda C ; Beckles, Verona L L ; Harrison, William J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c494t-32ef0f230f20aabea7a7c9420d0af871e87791190451c7f97b544260588df823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Antibiotics</topic><topic>Care and treatment</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Chronic Disease</topic><topic>Classification</topic><topic>College admissions</topic><topic>Defects</topic><topic>Diagnosis</topic><topic>Disease</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>Infections</topic><topic>Length of Stay - trends</topic><topic>Male</topic><topic>Orthopedics</topic><topic>Osteomyelitis</topic><topic>Osteomyelitis - classification</topic><topic>Osteomyelitis - diagnostic imaging</topic><topic>Osteomyelitis - surgery</topic><topic>Patient outcomes</topic><topic>Practice Guidelines as Topic - standards</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Staphylococcus aureus</topic><topic>Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stevenson, Andrew J</creatorcontrib><creatorcontrib>Jones, Henry Wynn</creatorcontrib><creatorcontrib>Chokotho, Linda C</creatorcontrib><creatorcontrib>Beckles, Verona L L</creatorcontrib><creatorcontrib>Harrison, William J</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>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</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 Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Access via ProQuest (Open Access)</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of orthopaedic surgery and research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stevenson, Andrew J</au><au>Jones, Henry Wynn</au><au>Chokotho, Linda C</au><au>Beckles, Verona L L</au><au>Harrison, William J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Beit CURE Classification of Childhood Chronic Haematogenous Osteomyelitis--a guide to treatment</atitle><jtitle>Journal of orthopaedic surgery and research</jtitle><addtitle>J Orthop Surg Res</addtitle><date>2015-09-17</date><risdate>2015</risdate><volume>10</volume><issue>1</issue><spage>144</spage><epage>144</epage><pages>144-144</pages><artnum>144</artnum><issn>1749-799X</issn><eissn>1749-799X</eissn><abstract>The Beit CURE (BC) classification is a radiographic classification used in childhood chronic haematogenous osteomyelitis. The aim of this study is to assess correlation between this classification and the type and extent of treatment required.
We present a retrospective series of 145 cases of childhood chronic haematogenous osteomyelitis classified using the BC classification. Variables measured include age, sex, bone involved, number of admissions, length of stay, type/number of operations and microbiology.
The most commonly affected bone was the tibia (46%), followed by femur (26%) and humerus (10%). Bone defects were most common in the tibia. Staphylococcus aureus was the most commonly isolated organism. Type B, sequestrum type, was the most common (88%), followed by type C, sclerotic type, (7%) and type A, Brodie's abscess (5%). Types A and B1 had the shortest length of hospitalisation (11 days), type B4 had the longest (87 days). Types A and B1 had the fewest infection control operations. Type B4 had the greatest total number of operations.
This study shows that the BC classification can guide surgical strategy and help predict length of inpatient treatment and number and type of procedures required.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26384208</pmid><doi>10.1186/s13018-015-0282-9</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1749-799X |
| ispartof | Journal of orthopaedic surgery and research, 2015-09, Vol.10 (1), p.144-144, Article 144 |
| issn | 1749-799X 1749-799X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4573297 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; SpringerNature Journals; PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Springer Nature OA/Free Journals |
| subjects | Adolescent Antibiotics Care and treatment Child Child, Preschool Chronic Disease Classification College admissions Defects Diagnosis Disease Female Hospitals Humans Infant Infections Length of Stay - trends Male Orthopedics Osteomyelitis Osteomyelitis - classification Osteomyelitis - diagnostic imaging Osteomyelitis - surgery Patient outcomes Practice Guidelines as Topic - standards Radiography Retrospective Studies Risk factors Staphylococcus aureus Studies Treatment Outcome |
| title | The Beit CURE Classification of Childhood Chronic Haematogenous Osteomyelitis--a guide to treatment |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-14T21%3A04%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Beit%20CURE%20Classification%20of%20Childhood%20Chronic%20Haematogenous%20Osteomyelitis--a%20guide%20to%20treatment&rft.jtitle=Journal%20of%20orthopaedic%20surgery%20and%20research&rft.au=Stevenson,%20Andrew%20J&rft.date=2015-09-17&rft.volume=10&rft.issue=1&rft.spage=144&rft.epage=144&rft.pages=144-144&rft.artnum=144&rft.issn=1749-799X&rft.eissn=1749-799X&rft_id=info:doi/10.1186/s13018-015-0282-9&rft_dat=%3Cgale_pubme%3EA541557704%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1780187774&rft_id=info:pmid/26384208&rft_galeid=A541557704&rfr_iscdi=true |