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[Etiology and evolution of the osteoarticular infections. 2009-2015: Pediatric Hospital Pereira Rossell Uruguay]. / Etiología y evolución de las infecciones osteo-articulares 2009-2015: Hospital Pediátrico del Centro Hospitalario Pereira Rossell, Uruguay.
Zuníno, Carlos; Vomero, Alejandra; Pandolfo, Soledad; Gutiérrez, Claudia; Algorta, Gabriela; Pírez, M Catalina; Giachetto, Gustavo.
Afiliação
  • Zuníno C; Facultad de Medicina Clínica Pediátrica, Universidad de la República, Uruguay.
  • Vomero A; Facultad de Medicina Clínica Pediátrica, Universidad de la República, Uruguay.
  • Pandolfo S; Facultad de Medicina Clínica Pediátrica, Universidad de la República, Uruguay.
  • Gutiérrez C; Laboratorio de Bacteriología, Hospital Pereira Rossell, Uruguay.
  • Algorta G; Laboratorio de Bacteriología, Hospital Pereira Rossell, Uruguay.
  • Pírez MC; Facultad de Medicina Clínica Pediátrica, Universidad de la República, Uruguay.
  • Giachetto G; Facultad de Medicina Clínica Pediátrica, Universidad de la República, Uruguay.
Rev Chilena Infectol ; 34(3): 235-242, 2017 Jun.
Article em Es | MEDLINE | ID: mdl-28991319
BACKGROUND: The most frequent osteoarticular infections (OAI) etiological agent is Staphylococcus aureus. The prevalence of other microorganisms has changed after the introduction of new vaccines. AIM: To describe the etiology and evolution of the OAIs in children hospitalized in Pediatric Hospital Pereira Rossell between 2009 and 2015. PATIENTS AND METHODS: Joint fluid and bone puncture studies of hospitalized children suspected of OAI. Epidemiological characteristics, isolated microorganisms, complementary tests, initial treatment, complications, and days of hospitalization were analyzed. RESULTS: 335 patients; the etiology was established in 113. Clinical data could be analyzed in 87 cases. The average age was 6.1 years. They corresponded to: methicillin-sensitive S. aureus (n: 47), community-acquired methicillin-resistant S. aureus (CA-MRSA) (n: 11), Streptococcus pyogenes (n: 6), Streptococcus pneumoniae (n: 1), Haemophilus influenzae type b (n: 2), Gram-negative bacilli (n: 9), Kingella kingae (n: 1) others (n: 6). In 4 cases, more than one microorganism was isolated. CA-MRSA infections were more serious. DISCUSSION: A decrease is observed in the number of CA-MRSA isolates. A fact to be highlighted is the impact of universal vaccination against S. pneumoniae and H. influenzae type b. It is a finding to be monitored the increasing number of Gram-negative bacilli isolates.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Osteomielite / Infecções por Bactérias Gram-Positivas / Infecções por Bactérias Gram-Negativas Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Newborn País/Região como assunto: America do sul / Uruguay Idioma: Es Revista: Rev Chilena Infectol Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Uruguai País de publicação: Chile

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Osteomielite / Infecções por Bactérias Gram-Positivas / Infecções por Bactérias Gram-Negativas Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male / Newborn País/Região como assunto: America do sul / Uruguay Idioma: Es Revista: Rev Chilena Infectol Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Uruguai País de publicação: Chile