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Bone cultures from war-wounded civilians in the Middle East: a surgical prospective

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Abstract

Purpose

Hidden infections in a reconstructive surgery program are frequently underestimated.

Methods

A retrospective study was undertaken of 1,891 civilian war-wounded patients from Iraq, Syria, Yemen and Gaza treated in Amman from August 2006 to January 2016. One thousand three hundred and fifty-three underwent surgical interventions for previous bone injury and had systematic bone cultures.

Results

Among patients (167) without any clinical, biological or radiological signs of infection, 46% demonstrated infection based on bone cultures. We conclude that bone culture should become a prerequisite for any reconstruction in such contexts.

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References

  1. Fakri RM, Al Ani AM, Rose AM, Alras MS, Daumas L, Baron E et al (2012) Reconstruction of nonunion tibial fractures in war-wounded Iraqi civilians, 2006–2008: better late than never. J Orthop Trauma 26(7):76–82

    Article  Google Scholar 

  2. Murphy RA, Ronat J-B, Fakhri RM (2011) Multidrug-resistant chronic osteomyelitis complicating war injury in Iraqi civilians. J Trauma 71(1):252–254

    Article  PubMed  Google Scholar 

  3. Mader JT, Ortiz M, Calhoun JH (1996) Update on the diagnosis and management of osteomyelitis. Clin Podiatr Med Surg 13(4):701–724

    CAS  PubMed  Google Scholar 

  4. Wilson ML, Winn W (2008) Laboratory diagnosis of bone, joint, soft-tissue, and skin infections. Med Microbiol 46(3):453-457

  5. Mackowiak PA, Jones SR, Smith JW (1978) Diagnostic value of sinus-tract cultures in chronic osteomyelitis. JAMA 239(26):2772–2775

    Article  CAS  PubMed  Google Scholar 

  6. Senneville E, Melliez H, Beltrand E et al (2006) Culture of percutaneous bone biopsy specimens for diagnosis of diabetic foot osteomyelitis: concordance with ulcer swab cultures. Clin Infect Dis 42:57–62

    Article  PubMed  Google Scholar 

  7. Ochsner PE, Bornes O et al (2014) Infections of the musculoskeletal system, basic principles, prevention, diagnosis and treatment. Heraeus Medical, Hanau, pp 84–85

  8. Tong MJ (1972) Septic complications of war wounds. JAMA 219:1044–1047

    Article  CAS  PubMed  Google Scholar 

  9. Yun HC, Murray CK, Roop SA, Hospenthal DR, Gourdine E, Dooley DP (2006) Bacteria recovered from patients admitted to a deployed U.S. military hospital in Baghdad, Iraq. Mil Med 171:821–825

    Article  PubMed  Google Scholar 

  10. Howard CB, Einhorn M, Dagan R, Yagupski P, Porat S (1994) Fine needle bone biopsy to diagnose osteomyelitis. J Bone Joint Surg (Br) 76(2):311–314

    CAS  Google Scholar 

  11. Zuluaga AF, Galvis W, Jaimes F, Vesga O (2002) Lack of microbiological concordance between bone and non-bone specimens in chronic osteomyelitis: an observational study. BMC Infect Dis 2:8

    Article  PubMed  PubMed Central  Google Scholar 

  12. Teicher CL, Ronat J-B, Fakhri RM, Basel M, Labar AS, Herard P, Murphy RA (2014) Antimicrobial drug–resistant bacteria isolated from Syrian war–injured patients, August 2011-March 2013. Emerg Infect Dis 20 (11):1949-1951

  13. Teicher C, Foote NL, Al Ani AMK, Alras MS, Alqassab SI, Baron E, Ahmedd K, Herard P, Fakhri RM (2014) The short musculoskeletal functional assessment (SMFA) score amongst surgical patients with reconstructive lower limb injuries in war wounded civilians. Injury 45:1996–2001

    Article  PubMed  Google Scholar 

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Correspondence to Patrick Hérard.

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The authors declare that they have no conflict of interest.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Hérard, P., Boillot, F. & Fakhri, R.M. Bone cultures from war-wounded civilians in the Middle East: a surgical prospective. International Orthopaedics (SICOT) 41, 1291–1294 (2017). https://doi.org/10.1007/s00264-016-3382-1

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  • DOI: https://doi.org/10.1007/s00264-016-3382-1

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