Preceding trauma in childhood hematogenous bone and joint infections.

J Pediatr Orthop B

aDepartment of Orthopedics and Traumatology, Turku University Hospital, University of Turku, Turku bChildren's Hospital, Helsinki University Central Hospital, University of Helsinki, Helsinki, Finland.

Published: March 2014

AI Article Synopsis

  • Preceding trauma might influence the onset of hematogenous bone and joint infections in children, with 20% of affected kids reporting trauma before the infection.
  • Common types of trauma included blunt impacts, bruises, or scrapes, and the trauma rate was comparable to that in the general pediatric population.
  • However, the study found no significant differences in age, health markers, hospitalization duration, or recovery outcomes between children with trauma and those without, indicating trauma may not be a crucial factor.

Article Abstract

Preceding trauma may play a role in the etiology and pathogenesis of hematogenous bone and joint infections. Among 345 children with an acute hematogenous bone and/or joint infection, 20% reported trauma during a 2-week period leading to infection. Blunt impact, bruises, or excoriations were commonly reported. The rate was similar to that in the general pediatric population obtained from the literature. In the study group, patients with and without trauma were similar in age, serum C-reactive protein and erythrocyte sedimentation rate, length of hospitalization, and late sequelae. Preceding minor trauma did not prove to be significant as an etiological or as a prognostic factor.

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Source
http://dx.doi.org/10.1097/BPB.0000000000000006DOI Listing

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