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Open Access Article

International Journal of Clinical Research. 2022; 6: (9) ; 103-109 ; DOI: 10.12208/j.ijcr.20220448.

Summary of Treatment of children with suppurative arthritis
小儿化脓性关节炎的治疗总结

作者: 李陈诚, 谢远胜, 王浩, 周顺吉, 梁正强 *

贵州省绥阳县人民医院 遵义绥阳

*通讯作者: 梁正强,单位:贵州省绥阳县人民医院 遵义绥阳;

发布时间: 2022-11-29 总浏览量: 533

摘要

化脓性关节炎是骨科常见疾病,且在小儿群体中较为多见。该病的治疗现在仍是骨科一大难题,治疗不当或者治疗不及时常常导致关节遗留后遗症,甚至导致关节功能的丧失。因此,该病在治疗方面的研究得到了更多学者的重视,其临床治疗方法需进一步进行挖掘。文章主要从小儿化脓性关节炎的治疗方面进行综述,对近年来小儿化脓性关节炎的治疗方法进行总结。

关键词: 骨髓炎;炎症;感染

Abstract

Suppurative arthritis is a common orthopedic disease, and more common in children. The treatment of this disease is still a big problem in orthopedics. Improper treatment or untimely treatment often leads to joint sequelae and even the loss of joint function. Therefore, the research on the treatment of the disease has been paid more attention by more scholars, and its clinical treatment methods need to be further explored. This article mainly reviews the treatment of children's suppurative arthritis, and summarizes the treatment methods of children's suppurative arthritis in recent years.

Key words: Osteomyelitis; Infection; Inflammation

参考文献 References

[1] Andrea Y, Manoj R. Acute haematogenous osteomyelitis in children. BMJ. 2014. 348: -.

[2] Merali HS, Reisman J, Wang LT. Emergency department management of acute hematogenous osteomyelitis in children. Pediatr Emerg Med Pract. 2014. 11: -.

[3] Agarwal A, Aggarwal AN. Bone and Joint Infections in Children: Acute Hematogenous Osteomyelitis. Indian J Pediatr. 2016. 83(8): 817-24.

[4] Pääkkönen M, Kallio MJ, Kallio PE, Peltola H. Repeated serum alkaline phosphatase measurements in the treatment of childhood acute bone and joint infections with high doses of antibiotics. Ann Lab Med. 2013. 33(5): 375-8.

[5] Omar M, Ettinger M, Reichling M, et al. Preliminary results of a new test for rapid diagnosis of septic arthritis with use of leukocyte esterase and glucose reagent strips. J Bone Joint Surg Am. 2014. 96(24): 2032-7.

[6] Basmaci R, Ilharreborde B, Bonacorsi S, et al. [Septic arthritis in children with normal initial C-reactive protein: clinical and biological features]. Arch Pediatr. 2014. 21(11): 1195-9.

[7] Pääkkönen M, Peltola H. Management of a child with suspected acute septic arthritis. Arch Dis Child. 2012. 97(3): 287-92.

[8] Agarwal A, Aggarwal AN. Bone and Joint Infections in Children: Septic Arthritis. Indian J Pediatr. 2016. 83(8): 825-33.

[9] Plumb J, Mallin M, Bolte RG. The role of ultrasound in the emergency department evaluation of the acutely painful pediatric hip. Pediatr Emerg Care. 2015. 31(1): 54-8; quiz 59-61.

[10] Courtney PM, Flynn JM, Jaramillo D, Horn BD, Calabro K, Spiegel DA. Clinical indications for repeat MRI in children with acute hematogenous osteomyelitis. J Pediatr Orthop. 2010. 30: -.

[11] Tuason DA, Gheen T, Sun D, Huang R, Copley L. Clinical and laboratory parameters associated with multiple surgeries in children with acute hematogenous osteomyelitis. J Pediatr Orthop. 2014. 34: -.

[12] Rutz E, Spoerri M. Septic arthritis of the paediatric hip - A review of current diagnostic approaches and therapeutic concepts. Acta Orthop Belg. 2013. 79(2): 123-34.

[13] Dodwell ER. Osteomyelitis and septic arthritis in children:  current concepts. Curr Opin Pediatr. 2013. 25(1): 58-63.

[14] Lorrot M, Doit C, Ilharreborde B, et al. [Antibiotic therapy of bone and joint infections in children: recent changes]. Arch Pediatr. 2011. 18(9): 1016-8.

[15] Bouchoucha S, Gafsi K, Trifa M, et al. [Intravenous antibiotic therapy for acute hematogenous osteomyelitis in children: short versus long course]. Arch Pediatr. 2013. 20(5): 464-9.

[16] Jagodzinski NA, Kanwar R, Graham K, Bache CE. Prospective evaluation of a shortened regimen of treatment for acute osteomyelitis and septic arthritis in children. J Pediatr Orthop. 2009. 29(5): 518-25.

[17] Peltola H, Pääkkönen M, Kallio P, Kallio MJ. Prospective, randomized trial of 10 days versus 30 days of antimicrobial treatment, including a short-term course of parenteral therapy, for childhood septic arthritis. Clin Infect Dis. 2009. 48(9): 1201-10.

[18] Kocher MS, Mandiga R, Murphy JM, et al. A clinical practice guideline for treatment of septic arthritis in children: efficacy in improving process of care and effect on outcome of septic arthritis of the hip. J Bone Joint Surg Am. 2003. 85(6): 994-9.

[19] Ballock RT, Newton PO, Evans SJ, Estabrook M, Farnsworth CL, Bradley JS. A comparison of early versus late conversion from intravenous to oral therapy in the treatment of septic arthritis. J Pediatr Orthop. 2009. 29(6): 636-42.

[20] Nelson JD. Toward simple but safe management of osteomyelitis. Pediatrics. 1997. 99(6): 883-4.

[21] McCarthy JJ, Dormans JP, Kozin SH, Pizzutillo PD. Musculoskeletal infections in children: basic treatment principles and recent advancements. Instr Course Lect. 2005. 54: 515-28.

[22] Vinod MB, Matussek J, Curtis N, Graham HK, Carapetis JR. Duration of antibiotics in children with osteomyelitis and septic arthritis. J Paediatr Child Health. 2002. 38(4): 363-7.

[23] Givon U, Liberman B, Schindler A, Blankstein A, Ganel A. Treatment of septic arthritis of the hip joint by repeated ultrasound-guided aspirations. J Pediatr Orthop. 2004. 24(3): 266-70.

[24] Merali HS, Reisman J, Wang LT. Emergency department management of acute hematogenous osteomyelitis in children. Pediatr Emerg Med Pract. 2014. 11(2): 1-18; quiz 19.

[25] Macchiaiolo M, Buonuomo PS, Mennini M, Villani A, Bartuli A. Question 2: Should steroids be used in the treatment of septic arthritis. Arch Dis Child. 2014. 99(8): 785-7.

[26] Delgado-Noguera MF, Forero DJM, Franco AA, Vazquez JC, Calvache JA. Corticosteroids for septic arthritis in children. Cochrane Database Syst Rev. 2018. 11: CD012125.

[27] Xu G, Spoerri M, Rutz E. Surgical treatment options for septic arthritis of the hip in children. Afr J Paediatr Surg. 2016. 13(1): 1-5.

[28] Griffet J, Oborocianu I, Rubio A, Leroux J, Lauron J, Hayek T. Percutaneous aspiration irrigation drainage technique in the management of septic arthritis in children. J Trauma. 2011. 70(2): 377-83.

[29] Journeau P, Wein F, Popkov D, Philippe R, Haumont T, Lascombes P. Hip septic arthritis in children: assessment of treatment using needle aspiration/irrigation. Orthop Traumatol Surg Res. 2011. 97(3): 308-13.

[30] Rutz E, Brunner R. Septic arthritis of the hip - current concepts. Hip Int. 2009. 19 Suppl 6: S9-12.

[31] Kang SN, Sanghera T, Mangwani J, Paterson JM, Ramachandran M. The management of septic arthritis in children: systematic review of the English language literature. J Bone Joint Surg Br. 2009. 91(9): 1127-33.

[32] 邓永岱, 梁军阳. 微创手术并持续关节腔灌洗治疗化脓性膝关节炎23例. 山东医药. 2003. (27): 49.

[33] 吴殿文, 李树. 早期关节切开持续灌洗治疗小儿化脓性关节炎. 黑龙江医学. 1996. (09): 23-24.

[34] Agout C, Lakhal W, Fournier J, de Bodman C, Bonnard C. Arthroscopic treatment of septic arthritis of the knee in children. Orthop Traumatol Surg Res. 2015. 101(8 Suppl): S333-6.

[35] Glorion C, Palomo J, Bronfen C, Touzet P, Padovani JP, Rigault P. [Acute infectious arthritis of the knee in children. Prognosis and therapeutic discussion apropos of 51 cases with an average follow-up of 5 years]. Rev Chir Orthop Reparatrice Appar Mot. 1993. 79(8): 650-60.

[36] Skyhar MJ, Mubarak SJ. Arthroscopic treatment of septic knees in children. J Pediatr Orthop. 1987. 7(6): 647-51.

[37] Stanitski CL, Harvell JC, Fu FH. Arthroscopy in acute septic knees. Management in pediatric patients. Clin Orthop Relat Res. 1989. (241): 209-12.

[38] Angel KR, Hall DJ. The role of arthroscopy in children and adolescents. Arthroscopy. 1989. 5(3): 192-6.

[39] Ohl MD, Kean JR, Steensen RN. Arthroscopic treatment of septic arthritic knees in children and adolescents. Orthop Rev. 1991. 20(10): 894-6.

[40] Sanchez AA, Hennrikus WL. Arthroscopically assisted treatment of acute septic knees in infants using the Micro-Joint Arthroscope. Arthroscopy. 1997. 13(3): 350-4.

[41] El-Sayed AM. Treatment of early septic arthritis of the hip in children: comparison of results of open arthrotomy versus arthroscopic drainage. J Child Orthop. 2008. 2(3): 229-37.

[42] 张羽飞, 杨兆宏. 关节镜下清理术治疗急性化脓性关节炎. 中国矫形外科杂志. 2000. (04): 12-14+107.

引用本文

李陈诚, 谢远胜, 王浩, 周顺吉, 梁正强, 小儿化脓性关节炎的治疗总结[J]. 国际临床研究杂志, 2022; 6: (9) : 103-109.