Between 1979 and 1981, 22 children with osteomyelitis and/or septic arthritis were hospitalized at Soroka University Hospital. Streptococcus pneumoniae was cultured in five of the children, four of whom were under 2 years of age. In four other children under 2 years of age, Haemophilus influenzae was cultured. Staphylococcus aureus was identified less frequently in the younger age group. In deciding on initial antibiotic therapy, the possibility of such a bacteriological spectrum should be considered.
References
1.
NelsonTextbook of Pediatrics. Philadelphia: W. B. Saunders, 1983:1499-1501.
2.
Traves S., Broker PHDiplococcus pneumonia osteomyelitis in an infant with sickle-cell anemia. Clin Pediatr1974;13:630.
3.
Klein J.Pneumococcal bacteremia in the young child. Am J Dis Child1975;129:1266.
4.
Edwards M., Baker C., Wanger M.An etiologic shift in infantile osteomyelitis. J Pediatr1978;93(4):578.
5.
Klein J., et al. Outcome of unsuspected pneumococcal bacteremia in children. J Pediatr1977;90:703.
6.
Wintery ACHematogeneous osteomyelitis. J Bone Joint Surg1964;42:691.
7.
Russel L.Septic arthritis in infants and children. Pediatrics1966;58:966.
8.
Petersen S., Knudsen F., Anderson F., et al. Ac. Hematogenous osteomyelitis and septic arthritis in childhood . Acta Orthop Scand1980;51:451.
9.
Waldvogel F. , Vasey H.Osteomyelitis: the past decade . N Engl J Med1980;303:360.
10.
Citiat O., Shpirer D.Pneumococcal bacteremia in children. Harefuah1981;100:385-8.
11.
Morrez B., Petersen H.Hematogenous osteomyelitis in children. Orthop Clin North Am1975;6:935.
12.
Lakhani U.Pneumococcal osteomyelitis and arthritis in an infantConn Med1977;4(8):479.