Abstract
The term ‘osteomyelitis’ implies inflammation of the bone and its marrow contents regardless of the cause. Osteomyelitis in children remains a major and common problem in developing countries, but is encountered less in the developed world. It usually occurs in the first decade of life, affecting 1 in 5,000 children younger than 13 years, and is more common in boys than girls. Advances in antimicrobial therapy have decreased the mortality rate from 50 % to less than 1 %. However, immunosuppression secondary to the spread of HIV infection and AIDS, in addition to the emergence of more resistant, virulent strains of bacteria, has added complexity to the management of affected children. These infections are difficult to treat because the infective organism tends to be adherent to the dead necrotic bone and foreign material in many cases, in addition to the limited distribution and penetration of antimicrobial drugs into infected bone. This chapter discusses the aeitiology, causes, diagnosis and management of osteomyelitis in children.
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Hanna, S.A., Miles, J. (2014). Management of Osteomyelitis. In: Bentley, G. (eds) European Surgical Orthopaedics and Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34746-7_211
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DOI: https://doi.org/10.1007/978-3-642-34746-7_211
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