BACTERIOLOGICAL PATTERN OF CHRONIC OSTEOMYELITIS- A RETROSPECTIVE STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 39
Abstract
BACKGROUND Chronic osteomyelitis is an infective inflammation of bone. This is a common problem in a developing country like India. Out of various reasons like open fractures, surgical interferences, nearby sepsis, penetrating injuries and haematogenous spread is the common cause of infection. This is very common in younger children and in majority of time it is due to haematogenous spread of bacteria. Bone involvement is common because of rich blood supply of growing skeleton in children. The aim of this study is to evaluate epidemiology, pattern of bacteriological agent and site of bone involvement in cases of chronic osteomyelitis. MATERIALS AND METHODS This is a retrospective study in 41 patients conducted at a private hospital from January 2014 to December 2016. Cases attending in outpatient department with chronic osteomyelitis with discharging sinus were subjected to pus culture and sensitivity tests, Gram staining along with routine haematological investigations and radiological examination. RESULTS In our study, majority (36.5%) of patients belongs to 10-19 years of age range, 31.7% in 1-9 years range. Chronic osteomyelitis was more common in males (73.1%) than females (26.8%). 21 (51.2%) patients had compound fracture (trauma) and haematogenous spread in 11 (26.8%) patients. Most common site was tibia upper end (26.8%) and femur lower end (21.9%). Most common bacteriological agent were staphylococcus aureus 53.6%), coagulase-negative staphylococcus (14.6%), E. coli (12.1%), others are proteus, Klebsiella and pseudomonas. CONCLUSION Chronic osteomyelitis is most commonly a sequel of open fracture in our study. Careful antibiotic selection after culture and sensitivity is an effective treatment modality.
Authors and Affiliations
Arvind Kumar, Usha Singh
Keywords
Related Articles
- EP ID EP219182
- DOI 10.18410/jebmh/2017/471
- Views 95
- Downloads 0
STUDY OF EFFICACY TOPICAL TACROLIMUS IN DIFFERENT DERMATOSES
: Immunological diseases of the skin are serious concern to dermatologist all over the world. Treatment of such diseases is big challenge and topical immune modulators have been proved to be effective in this. Various an...
CLINICAL PROFILE OF PATIENTS WITH CHRONIC DERMATOPHYTOSIS- A DESCRIPTIVE STUDY FROM A TERTIARY CARE CENTRE IN KERALA
BACKGROUND Chronic dermatophytosis is increasing in an alarming proportion all over India. This study was undertaken to understand the possible factors predisposing to chronic dermatophytosis in patients attending the OP...
CUTANEOUS MANIFESTATION IN PATIENTS OF RENAL DISORDERS
Disease that affect skin and kidney can be linked in a number of different ways. AIMS: To observe the incidence and pattern of cutaneous in patients of CRF, undergoing dialysis and transplantation. METHODS: 125 patients...
ANAESTHETIC MANAGEMENT OF AN INFANT WITH BRONCHOGENIC CYST POSTED FOR THORACOTOMY
Bronchogenic cyst is a benign congenital cystic lesion of lung, develops by irregular growth of ventral foregut and lung budding, mostly located in the middle of mediastinum. The cyst may be asymptomatic or a focus for r...
ULTRA-SOUND GUIDED SUPRASCAPULAR NERVE BLOCK IN HEMIPLEGIC SHOULDER PAIN
BACKGROUND Hemiplegic shoulder pain is associated with reduced functional improvement, a higher incidence of depression, interference with rehabilitation, and an increased length of hospitalisation. Supra- Scapular Nerve...