Therapeutic decision in chronic osteomyelitis: sinus track culture versus intraoperative bone culture
| العنوان: | Therapeutic decision in chronic osteomyelitis: sinus track culture versus intraoperative bone culture |
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| المؤلفون: | AL Akinyoola, O. O. Adegbehingbe, Aaron O. Aboderin |
| المصدر: | Archives of Orthopaedic and Trauma Surgery. 129:449-453 |
| بيانات النشر: | Springer Science and Business Media LLC, 2008. |
| سنة النشر: | 2008 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Adolescent, medicine.drug_class, Antibiotics, Microbial Sensitivity Tests, Sensitivity and Specificity, Bone and Bones, Young Adult, medicine, Humans, Orthopedics and Sports Medicine, Prospective Studies, Child, Sinus (anatomy), business.industry, Soft Tissue Infections, Infant, Osteomyelitis, General Medicine, Staphylococcal Infections, Surgery, Chronic disease, medicine.anatomical_structure, Chronic osteomyelitis, Child, Preschool, Chronic Disease, Orthopedic surgery, Female, business |
| الوصف: | The ideal specimen for identification of the etiologic agents in chronic osteomyelitis for best antibiotic decision remains controversial.To assess the concordance of sinus track culture (STC) with that of intraoperative bone culture (IBC) to guide antibiotic therapy in chronic osteomyelitis.A prospective comparative study of chronic osteomyelitis patients seen in our centre from January 2004 to December 2006. Specimens from the depths of sinus track and intraoperative bone biopsy were obtained from each patient and subjected to microbiologic examination and their concordance determined.In STCs Staphylococcus aureus has the highest sensitivity (60.5%), specificity (45.0%) and positive predictive value (72.2%). The overall sensitivity (50.9%), specificity (20%) and predictive value (47.5%) of sinus track specimens were very low. Antibiotic decision based on IBC showed 106 patients (82.8%) had resolution of chronic osteomyelitis at mean of 2 years follow-up.IBC appears to predict more reliably the complete etiologic organisms than STCs in chronic osteomyelitis. |
| تدمد: | 1434-3916 0936-8051 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7b52716dd18f0cdade62665a6d2f5442 https://doi.org/10.1007/s00402-008-0621-y |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....7b52716dd18f0cdade62665a6d2f5442 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14343916 09368051 |
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