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Community-acquired bone and joint infections in children: a 1-year prospective epidemiological study

Abstract : BACKGROUND: The incidence of childhood bone and joint infections (BJIs) is not well known, but is useful for identifying epidemiological differences and improving practice. OBJECTIVE: To determine the incidence of BJI in previously well children and describe their clinical, laboratory and radiological characteristics. METHODS: A multicentre, population-based, prospective study performed from July 2008 through June 2009. METHODS: Region of northern France with a population of 872 516 children <16 years old. METHODS: All previously well children admitted in the region with septic arthritis, acute osteomyelitis or spondylodiscitis, diagnosed according to consensus criteria and after blinded radiological review. METHODS: The corrected incidence of BJI, determined with a capture-recapture method that used this prospective database and the discharge summary database. RESULTS: 58 cases were identified (median age: 3.6 years, range: 1 month-15.8 years; male to female ratio: 1.6). The completeness of the prospective database was 90%. The corrected incidence of any BJI was 7.1/100 000 children (95% CI 5.3 to 8.9). Thirty patients had septic arthritis (52%, incidence: 3.7/100 000; 95% CI 2.4 to 4.9), 24 osteomyelitis (41%, incidence 3.0/100 000; 95% CI 1.8 to 4.1), 4 spondylodiscitis (7%) and 0 osteoarthritis. Micro-organisms were identified from 15 patients (26%), with Staphylococcus aureus the most frequent organism. Radiological findings were characteristic of infection in 44% of BJI. CONCLUSIONS: The corrected incidence of BJI in northern France, according to consensus diagnostic criteria, was 7.1/100 000 children <16 years of age.
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https://hal.univ-lille.fr/hal-03357933
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Soumis le : mercredi 29 septembre 2021 - 10:02:06
Dernière modification le : mercredi 27 octobre 2021 - 16:16:11

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Ayoub Mitha, Nathalie Boutry, Eric Nectoux, Caroline Petyt, Marion Lagree, et al.. Community-acquired bone and joint infections in children: a 1-year prospective epidemiological study. Archives of Disease in Childhood, BMJ Publishing Group, 2015, Archives of disease in childhood, 100 (2), pp.126-129. ⟨10.1136/archdischild-2013-305860⟩. ⟨hal-03357933⟩

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