The Diagnostic Value of Sinus-Track Cultures in Secondary Pediatric Chronic Osteomyelitis

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dc.contributor.authorUlug, Mehmet
dc.contributor.authorAyaz, Celal
dc.contributor.authorCelen, Mustafa Kemal
dc.contributor.authorNecmioglu, Serdar
dc.date.accessioned2024-04-24T17:38:17Z
dc.date.available2024-04-24T17:38:17Z
dc.date.issued2011
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: 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.en_US
dc.identifier.endpage129en_US
dc.identifier.issn0023-5776
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-79958699898
dc.identifier.scopusqualityQ4
dc.identifier.startpage125en_US
dc.identifier.urihttps://hdl.handle.net/11468/21395
dc.identifier.volume43en_US
dc.identifier.wosWOS:000291451800008
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoenen_US
dc.publisherKuwait Medical Assocen_US
dc.relation.ispartofKuwait Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBacteriologyen_US
dc.subjectChildhooden_US
dc.subjectChronic Osteomyelitisen_US
dc.subjectSinus-Tracken_US
dc.titleThe Diagnostic Value of Sinus-Track Cultures in Secondary Pediatric Chronic Osteomyelitisen_US
dc.titleThe Diagnostic Value of Sinus-Track Cultures in Secondary Pediatric Chronic Osteomyelitis
dc.typeArticleen_US

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