The Diagnostic Value of Sinus-Track Cultures in Secondary Pediatric Chronic Osteomyelitis
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Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Kuwait Medical Assoc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: To determine and compare the diagnostic value and accuracy of culture of material from a sinus track with culture of material from bone specimens Design: Retrospective study Setting: Dicle University Medical School and Batman State Hospital, Turkey Subjects: Twenty-one patients with secondary chronic osteomyelitis (COM). Material for culture was taken from the sinus as well as the bone specimens Interventions: Surgery for COM Main outcome measures: The diagnostic value of sinus track culture Results: The mean age of patients was 8.5 +/- 3.8 years. 15 (71.4%) were male and six (28.6%) were female. Organisms isolated from bone cultures were Staphylococcus 71.4% (15 / 21), Pseudomonas aeruginosa 9.5% (2 / 21), Escherichia coli 9.5% (2 / 21), Proteus mirabilis 4.8% (1 / 21), Klebsiella pneumoniae 4.8% (1 / 21), respectively. Cultures of sinus track material and bone specimens gave identical results in 47.6% of patients. Conclusion: This study shows that if treatment of COM was planned according to the microbiological analysis of material from the sinus-track, it may not result in recovery every time. We found approximately 48% concordance between sinus-track and bone cultures. In other words, antimicrobial therapy guided by antibiograms of bacteria isolated from sinus-track would be inappropriate in 52% of patients with COM and result in treatment failure.
Açıklama
Anahtar Kelimeler
Bacteriology, Childhood, Chronic Osteomyelitis, Sinus-Track
Kaynak
Kuwait Medical Journal
WoS Q Değeri
Q4
Scopus Q Değeri
Q4
Cilt
43
Sayı
2
