Bacterial Infection of Bone & Joint in Children

小孩骨骼及關節細菌性感染

賴建宏(Jiann-Horng Lai) ； 郭兆光(Tiew-Guan Kwok) ； 黃俊雄(Chun-Hsiung Huang) ； 蘇榮源(Rong-Yang Su)

《Journal of Orthopaedic Surgery Taiwan》 5卷1期 (1988/03) Pp. 29-36

摘要

自一九七二年到一九八三年，共有110位骨骼及關節細菌感染的兒童病例，其中63例為骨髓炎47例為細菌性關節炎而接受分析討論。男性病人74例，女性36例。受感染多半是學齡的兒童，佔了64%，尤其是小於壹歲者（佔35%）最多。這些病患經過嚴謹的檢查，治療及追蹤，平均追蹤長達5.5年之久。雖然細菌培養是診斷主要的依據，但只有60%的病例能培養出細菌，其中以葡萄球發生率最高，佔49.3%。其他尚有鏈球菌，大腸桿菌，帚形菌類，肺炎克莢勃士細菌，嗜血性副流行性感冒桿菌等。這些細菌可經由不知部位的感染後經血行性傳來，例如上呼吸道，泌尿道，消化道及皮膚的感染所致。治療的方針包括外科引流及抗生素使用。而手術引流不但去除病原，也確定了病原種類，提供了更進一步治療的依據。

並列摘要

One hundred and ten children with 63 cases of osteomyelitis and 47 cases of bacterial arthritis are analyzed. There are 74 males and 36 females. The preschool-age group is predominantly affected. It encounters 64% of the cases, while 35% are under one-year old. All efforts dealing with the diagnosis is made, and full course of treatment is achieved and patients are followed up for an average of 5 years and 6 months. Only 60% of the cases had organism isolated from the culture. The most common organism is Staphylococcus aureus (49.3%), others include α-hemolytic Streptococcus, streptococcus epidermidis, Staphylococcus albus, Pseudomonas aeruginosa, Pseudomonas maltophillia, Klebsiella pneumoniae, E-coli and Hemophillus parainfluenza etc. The route of infection is usually arised as a hematogenous spread from unevident primary focus like respiratory tract, geno-urinary tract, gastrointestinal tract, and skin infection etc. The treatment includes surgical drainage and antibiotic therapy. Surgery is considered to be an essential part of the diagnostic and therapeutic management of the problem.

並列關鍵字

Osteomyelitis ； Bacterial arthritis ； Children