AI Article Synopsis
- Staphylococcus aureus is the most common bacteria causing osteomyelitis in children, but other organisms like Kingella kingae and resistant strains are on the rise.
- Magnetic resonance imaging (MRI) is the preferred method for diagnosing pediatric osteomyelitis due to its effectiveness in detecting the condition.
- Early cases can often be treated with a short course of IV antibiotics, switching to oral antibiotics for at least 3 weeks, while surgery is needed if there's an abscess or if antibiotics don't work.
Article Abstract
The most common causative organism of pediatric osteomyelitis is Staphylococcus aureus, although, more recently, organisms such as Kingella kingae and methicillin-resistant S. aureus have been increasing in prevalence. Magnetic resonance imaging is the best diagnostic imaging modality for pediatric osteomyelitis given its high sensitivity and specificity. Most cases of early osteomyelitis without a drainable abscess can be adequately treated with a short course of intravenous antibiotics followed by at least 3 weeks of oral antibiotics. Surgical management of pediatric osteomyelitis is usually indicated in the presence of an abscess and/or failed treatment with antibiotic therapy. Clinical examination, fever, and C-reactive protein testing should be used to guide the conversion to oral antibiotics, the total antibiotic regimen duration, and the need for an additional debridement surgical procedure.
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| http://dx.doi.org/10.2106/JBJS.RVW.19.00202 | DOI Listing |
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