Is Early Surgical Intervention Necessary for Acute Neonatal Humeral Epiphyseal Osteomyelitis: A Retrospective Study of 31 Patients
Objective: To review the treatment experience of neonatal humeral epiphyseal osteomyelitis retrospectively. Study design: Retrospective cohort study of infants with neonatal humeral epiphyseal osteomyelitis. Patients were divided into conservative group and surgical group, and the surgical group was...
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MDPI AG
2022-04-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/4/527 |
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| author | Yun Gao Ruikang Liu Saroj Rai Qingtuan Liang Yuan Liu Xiaoliang Xiao Pan Hong |
| author_facet | Yun Gao Ruikang Liu Saroj Rai Qingtuan Liang Yuan Liu Xiaoliang Xiao Pan Hong |
| author_sort | Yun Gao |
| collection | DOAJ |
| description | Objective: To review the treatment experience of neonatal humeral epiphyseal osteomyelitis retrospectively. Study design: Retrospective cohort study of infants with neonatal humeral epiphyseal osteomyelitis. Patients were divided into conservative group and surgical group, and the surgical group was subdivided into early and delayed surgical group. Results: In total, there were 7 patients in the conservative group and 24 in the surgical group. The length of hospital stay and intravenous course of antibiotic therapy were both significantly shorter in the surgical group (<i>p</i> < 0.001). The full recovery rate was also higher in the surgical group (83.3%) than the conservative group (14.3%) (<i>p</i> < 0.001). Early surgery group (<i>n</i> = 14) had an insignificantly higher positive rate of pus/aspirate culture and full recovery rate than delayed surgery group (<i>n</i> = 10). Conclusion: Surgical treatment for neonatal humeral epiphyseal osteomyelitis demonstrated significantly higher rates of positive culture for the pathogen, a shorter course of intravenous oral antibiotics, and lower incidence of growth abnormality than conservative treatment. In our institution, most of culture outcome Gram-positive bacteria, and early surgical treatment was recommended with better outcome than delayed surgical group. Empirical antibiotics should be tailored to the epidemiological characteristics of local virulent bacteria. |
| first_indexed | 2024-03-09T11:00:03Z |
| format | Article |
| id | doaj.art-4e078d7f9d78438b89e6f5084e2cd899 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T11:00:03Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-4e078d7f9d78438b89e6f5084e2cd8992023-12-01T01:19:07ZengMDPI AGChildren2227-90672022-04-019452710.3390/children9040527Is Early Surgical Intervention Necessary for Acute Neonatal Humeral Epiphyseal Osteomyelitis: A Retrospective Study of 31 PatientsYun Gao0Ruikang Liu1Saroj Rai2Qingtuan Liang3Yuan Liu4Xiaoliang Xiao5Pan Hong6Department of Orthopaedic Surgery, Zhuhai Center for Maternal and Child Health Care, Zhuhai 519000, ChinaDepartment of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaDepartment of Orthopaedics and Trauma Surgery, Blue Cross Hospital, Tripureswor, Kathmandu 44600, NepalDepartment of Orthopaedic Surgery, Zhuhai Center for Maternal and Child Health Care, Zhuhai 519000, ChinaDepartment of Orthopaedic Surgery, Zhuhai Center for Maternal and Child Health Care, Zhuhai 519000, ChinaDepartment of Orthopaedic Surgery, Zhuhai Center for Maternal and Child Health Care, Zhuhai 519000, ChinaDepartment of Orthopaedic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaObjective: To review the treatment experience of neonatal humeral epiphyseal osteomyelitis retrospectively. Study design: Retrospective cohort study of infants with neonatal humeral epiphyseal osteomyelitis. Patients were divided into conservative group and surgical group, and the surgical group was subdivided into early and delayed surgical group. Results: In total, there were 7 patients in the conservative group and 24 in the surgical group. The length of hospital stay and intravenous course of antibiotic therapy were both significantly shorter in the surgical group (<i>p</i> < 0.001). The full recovery rate was also higher in the surgical group (83.3%) than the conservative group (14.3%) (<i>p</i> < 0.001). Early surgery group (<i>n</i> = 14) had an insignificantly higher positive rate of pus/aspirate culture and full recovery rate than delayed surgery group (<i>n</i> = 10). Conclusion: Surgical treatment for neonatal humeral epiphyseal osteomyelitis demonstrated significantly higher rates of positive culture for the pathogen, a shorter course of intravenous oral antibiotics, and lower incidence of growth abnormality than conservative treatment. In our institution, most of culture outcome Gram-positive bacteria, and early surgical treatment was recommended with better outcome than delayed surgical group. Empirical antibiotics should be tailored to the epidemiological characteristics of local virulent bacteria.https://www.mdpi.com/2227-9067/9/4/527neonatal humeral epiphyseal osteomyelitissurgeryseptic arthritis |
| spellingShingle | Yun Gao Ruikang Liu Saroj Rai Qingtuan Liang Yuan Liu Xiaoliang Xiao Pan Hong Is Early Surgical Intervention Necessary for Acute Neonatal Humeral Epiphyseal Osteomyelitis: A Retrospective Study of 31 Patients Children neonatal humeral epiphyseal osteomyelitis surgery septic arthritis |
| title | Is Early Surgical Intervention Necessary for Acute Neonatal Humeral Epiphyseal Osteomyelitis: A Retrospective Study of 31 Patients |
| title_full | Is Early Surgical Intervention Necessary for Acute Neonatal Humeral Epiphyseal Osteomyelitis: A Retrospective Study of 31 Patients |
| title_fullStr | Is Early Surgical Intervention Necessary for Acute Neonatal Humeral Epiphyseal Osteomyelitis: A Retrospective Study of 31 Patients |
| title_full_unstemmed | Is Early Surgical Intervention Necessary for Acute Neonatal Humeral Epiphyseal Osteomyelitis: A Retrospective Study of 31 Patients |
| title_short | Is Early Surgical Intervention Necessary for Acute Neonatal Humeral Epiphyseal Osteomyelitis: A Retrospective Study of 31 Patients |
| title_sort | is early surgical intervention necessary for acute neonatal humeral epiphyseal osteomyelitis a retrospective study of 31 patients |
| topic | neonatal humeral epiphyseal osteomyelitis surgery septic arthritis |
| url | https://www.mdpi.com/2227-9067/9/4/527 |
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