They are important due to the potential involvement of the growth plate or epiphyseal cartilage, which could affect growth and bone and/or joint development and result in sequelae at this level. Osteoarticular infections (OAIs) are relatively frequent in childhood. Se ha conseguido un descenso de la estancia hospitalaria. ConclusionesĮn general, el grado de adecuación a las recomendaciones que marcaron el grupo de expertos es bueno para las pruebas complementarias y aceptable respecto a la elección del tratamiento antibiótico, aun detectándose casi un 40% de inadecuación. Solo el 58,5% de casos se ajustaron a las recomendaciones de duración del tratamiento sin embargo, se comprobó una menor duración del tratamiento intravenoso. Se llevó a cabo cirugía en el 36,8% de las AS (85,7% artrotomía), con un descenso significativo respecto al estudio retrospectivo ( P = ,014). La elección del tratamiento antibiótico intravenoso empírico se adecuó a las recomendaciones en el 65,1% de los casos, y en el 62,3% para el tratamiento oral. Respecto a las pruebas complementarias que el consenso consideró de obligada realización, la radiografía se llevó a cabo en el 87,8% de los casos, el hemocultivo en el 91,6% y el cultivo de líquido sinovial en el 99% de AS. Se incluyeron 255 casos: 131 OM, 79 AS, 30 OA y 15 ED. Los resultados se compararon con los obtenidos en el estudio retrospectivo realizado entre 2008 y 2012. Material y métodosĮstudio prospectivo multicéntrico nacional realizado entre septiembre de 2015 y septiembre de 2016 en 37 hospitales con inclusión de pacientes menores de 16 años diagnosticados de IOA, confirmada mediante aislamiento microbiológico, o probable: artritis séptica (AS) con >40.000 leucocitos en líquido sinovial u osteomielitis (OM)/osteoartritis (OA)/espondilodiscitis (ED) con prueba de imagen compatible. El objetivo del estudio ha sido valorar el grado de adecuación a las recomendaciones establecidas en el consenso durante un año de seguimiento. En 2015 se constituyó RIOPed como red nacional multidisciplinar para la investigación en IOA. A decrease in hospital stay was achieved.Įn 2014 se publicó el Documento de Consenso desarrollado por SEIP-SERPE-SEOP para el diagnóstico y el tratamiento de las infecciones osteoarticulares (IOA). In general, the level of adaptation to the recommendations that were set by the Expert Group, is good for the complementary tests, and acceptable as regards the choice of antibiotic treatment, although inadequate in almost 40% of cases. Only 58.5% of cases followed the recommendations on the duration of the treatment however, a lower duration of intravenous treatment was observed. Surgery was performed in 36.8% of SA cases (85.7% arthrotomy), with a significant decrease compared to the retrospective study ( P =. The choice of intravenous empirical antibiotic treatment was adapted to the recommendations in 65.1% of cases, and in 62.3% for the oral treatment. A magnetic resonance (MR) was performed on 71% of the OM cases. As regards the complementary tests that the Consensus considered mandatory to perform, radiography was carried out on 87.8% of the cases, a blood culture on 91.6%, and culture of the synovial fluid in 99% of SA. ResultsĪ total of 235 cases were included, of which 131 were OM, 79 SA, 30 OA, and 15 SD. The results were compared with those obtained in a retrospective study conducted between 20. The study included patients >16 years-old with a diagnosis of OAI, confirmed by microbiological isolation, or probable: septic arthritis (SA) with >40,000 white cells in synovial fluid, or osteomyelitis (OM)/spondylodiscitis (SD) with a compatible imaging test. Material and methodsĪ prospective, national multicentre study was carried out in 37 hospitals between September 2015 and September 2016. The aim of this study was to assess the level of adaption to the recommendations established in the Consensus during one year of follow-up. In 2015 the RIOPed was considered as a multidisciplinary national network for the investigation into OAI. In 2014 the Consensus Document produced by the Spanish Paediatric Societies (SEIP-SERPE-SEOP) was published to help in the diagnosis and treatment of osteoarticular infections (OAI).
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