Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10586
Title: Management of melioidosis osteomyelitis and septic arthritis.
Authors: Shetty, R P
Mathew, M
Smith, J
Morse, L P
Mehta, J A
Currie, B J
Affiliation: Royal Darwin Hospital, 105 Rocklands Drive, Tiwi, NT 0810, Australia..
The Prince Charles Hospital, Rode Road, Brisbane, QLD 4032, Australia..
Mackay Base Hospital, 475 Bridge Rd, West Mackay, QLD 4740, Australia..
Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia..
Royal Darwin Hospital, 105 Rocklands Drive, Tiwi, NT 0810, Australia..
Royal Darwin Hospital, 105 Rocklands Drive, Tiwi, NT 0810, Australia..
Issue Date: Feb-2015
Citation: The bone & joint journal 2015-02; 97-B(2): 277-82
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.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10586
DOI: 10.1302/0301-620X.97B2.34799
Type: Journal Article
Subjects: Bone and joint Melioidosis
Melioidosis
Osteomyelitis
Septic arthritis
Adult
Anti-Bacterial Agents
Arthritis, Infectious
Combined Modality Therapy
Comorbidity
Female
Humans
Male
Melioidosis
Middle Aged
Osteomyelitis
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