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Acute Hematogenous Osteomyelitis

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Pediatric Musculoskeletal Infections

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Abstract

Children with acute hematogenous osteomyelitis demonstrate a wide range of illness, ranging from mild to severe. Long-term clinical outcomes correlate with severity of illness at the time of initial hospital presentation. The treatment of acute hematogenous osteomyelitis utilizes a strategy of sequential parenteral to oral antibiotic therapy. Some children require surgical intervention for source control. Given the evolution of antibiotic resistance among Staphylococcus aureus isolates in different communities, it is increasingly relevant to obtain a sample from bone by trocar or during open irrigation and drainage procedures to guide specific antibiotic selection. This chapter reviews recent evidence pertaining to the evaluation and treatment of children with acute hematogenous osteomyelitis.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Texas Children’s Hospital, Baylor College of Medicine, Houston, TX, USA

    Scott B. Rosenfeld

  2. Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children and Children’s Health System of Texas, University of Texas Southwestern, Dallas, TX, USA

    Lawson A. Copley

Authors
  1. Scott B. Rosenfeld
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  2. Lawson A. Copley
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Corresponding author

Correspondence to Lawson A. Copley .

Editor information

Editors and Affiliations

  1. Department of Child Health & Orthopedics, University of Arizona College of Medicine, Phoenix, AZ, USA

    Mohan V. Belthur

  2. Blooming Buds Centre for Pediatric Orthopedics, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India

    Ashish S. Ranade

  3. Drexel University College of Medicine, Philadelphia, PA, USA

    Martin J. Herman

  4. Orthopedics, Sheffield Children’s NHS Foundation Trust, Sheffield, UK

    James A. Fernandes

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Rosenfeld, S.B., Copley, L.A. (2022). Acute Hematogenous Osteomyelitis. In: Belthur, M.V., Ranade, A.S., Herman, M.J., Fernandes, J.A. (eds) Pediatric Musculoskeletal Infections. Springer, Cham. https://doi.org/10.1007/978-3-030-95794-0_11

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  • DOI: https://doi.org/10.1007/978-3-030-95794-0_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-95793-3

  • Online ISBN: 978-3-030-95794-0

  • eBook Packages: MedicineMedicine (R0)

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