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Management of melioidosis osteomyelitis and septic arthritis

Shetty, R., Mathew, M., Smith, J., Morse, L. P., Mehta, J. A. and Currie, Bart J. (2015). Management of melioidosis osteomyelitis and septic arthritis. The Bone & Joint Journal,97-B(2):277-282.

Document type: Journal Article
Citation counts: Altmetric Score Altmetric Score is 5
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IRMA ID 11381xPUB41
Title Management of melioidosis osteomyelitis and septic arthritis
Author Shetty, R.
Mathew, M.
Smith, J.
Morse, L. P.
Mehta, J. A.
Currie, Bart J.
Journal Name The Bone & Joint Journal
Publication Date 2015
Volume Number 97-B
Issue Number 2
ISSN 2049-4394   (check CDU catalogue  open catalogue search in new window)
Scopus ID 2-s2.0-84921712944
Start Page 277
End Page 282
Total Pages 6
Place of Publication United Kingdom
Publisher British Editorial Society of Bone and Joint Surgery
Field of Research MEDICAL AND HEALTH SCIENCES
HERDC Category C1 - Journal Article (DIISR)
Abstract Little information is available about several important aspects of the treatment of melioidosis osteomyelitis and septic arthritis.

We undertook a retrospective review of 50 patients with these conditions in an attempt to determine the effect of location of the disease, type of surgical intervention and duration of antibiotic treatment on outcome, particularly complications and relapse.

We found that there was a 27.5% risk of osteomyelitis of the adjacent bone in patients with septic arthritis in the lower limb. Patients with septic arthritis and osteomyelitis of an adjacent bone were in hospital significantly longer (p = 0.001), needed more operations (p = 0.031) and had a significantly higher rate of complications and re-presentation (p = 0.048).

More than half the patients (61%), most particularly those with multifocal bone and joint involvement, and those with septic arthritis and osteomyelitis of an adjacent bone who were treated operatively, needed more visits to theatre.
Keywords Melioidosis
Osteomyelitis
Septic arthritis
Bone and joint Melioidosis
DOI http://dx.doi.org/10.1302/0301-620X.97B2.34799   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Tue, 26 Jul 2016, 12:34:15 CST