Your Messages Inbox
Most Viewed Abstracts
1. Report Shows Shift in Starting Salaries for Physicians 2. Use of Antiemetic Agents in Acute Gastroenteritis 3. 2008 Exclusive Survey—Earnings: Good news for primary care income 4. Medicare pay-for-reporting effort draws fire from frustrated doctors 5. Debunking Myths in the US Healthcare System
Top Ten Searches
gynecomastia empyema henoch–schönlein otitis media dyspnea jaundice ventricle lyme immunodeficiency coolingYour Article Summary
See Latest ArticlesProspective evaluation of a shortened regimen of treatment for acute osteomyelitis and septic arthritis in children
Journal of Pediatric Orthopaedics , 07/01/09
Jagodzinski NA et al. – Study reports that a shortened course of intravenous and oral antibiotic therapy is effective in the management of acute uncomplicated bone and joint sepsis in children.
Methods- Aim was to investigate if children could be safely treated with 3 days of high-dose iv therapy followed by 3 wks of oral therapy in uncomplicated bone and joint infections
- Inclusion criteria for entry into the database were:
- Children ≤16 years of age who had no underlying disease or medical therapy predisposing to infection, and
- Who had symptoms for less than 14 days before presentation
- They were all started on iv antibiotics and a predetermined treatment algorithm was followed
- All pts with septic arthritis also underwent joint washout
- Pts were converted to oral antibiotics once they improved clinically and hematologically
- Regular outpatient f/u continued for 1 yr with blood tests and X-rays
- 70 consecutive, eligible children aged 2 wks-14 yrs
- Staphylococci were the only organisms isolated in cases of osteomyelitis
- Whereas Streptococcal infection was more prevalent in pts with septic arthritis
- 59% of children could be converted to oral therapy after 3 days of iv therapy and 86% after 5 days
- Median duration of inpatient stay was 5 days
- 3 wks of oral therapy was appropriate for those pts who received 5 days or less iv treatment
- Temperature and CRP were the best quantitative means of monitoring response to therapy
- All pts were clinically, hematologically, and radiologically normal before discharge 1 yr post-presentation
Today in Pediatric Emergencies...keeping you current
Receive free subspecialty "5-minute updates" via email
Diclofenac for acute pain in children
Cochrane Reviews, 10/08/09
Management of acute appendicitis: an imaging strategy in children
Pediatric Surgery International, 10/27/09
Rapid viral diagnosis for acute febrile respiratory illness in children in the Emergency Department
Cochrane Reviews, 10/26/09
Today in Pediatric Ortho/Rheum...keeping you current
Receive free subspecialty "5-minute updates" via email
Adolescent Offspring of Mothers With Chronic Fatigue Syndrome
Journal of Adolescent Health, 10/14/09
The robust association between childhood physical abuse and osteoarthritis in adulthood: Findings from a representative community sample
Arthritis Care and Research , 11/05/09
Ethnic differences in pediatric systemic lupus erythematosus
Journal of Rheumatology, 10/21/09
Sponsor
Article Search
Sponsor
Sponsor