Sixty children younger than 3 years with culture-positive hematogenous septic arthritis and acute/subacute osteomyelitis treated between 1990 and 1995 were reviewed to identify the infecting organism.
Gram-positive bacteria were identified in 47 (78.3%) patients, and gram-negative organisms were identified in 13 (21.7%) patients.
Haemophilus influenzae was cultured in none of the cases of septic arthritis and in only one (1.6%) case of acute osteomyelitis.
Kingella kingae was cultured in 10 (16.7%) cases, with all of these patients between the ages of 10.5 and 23.5 months.
Routine immunization of infants against H. influenzae has caused a change in the historically reported bacteria of bone and joint infections in children younger than 3 years.
Haemophilus influenzae has lost its predominance as the most commonly identified gram-negative pathogen, and in this study, has been replaced by K. kingae.
Mots-clés Pascal : Ostéite, Nourrisson, Homme, Enfant, Arthrite, Infection, Haemophilus influenzae, Pasteurellaceae, Bactérie, Epidémiologie, Prévalence, Kingella kingae, Neisseriaceae, Micrococcales, Exploration microbiologique, Système ostéoarticulaire pathologie, Ostéopathie, Bactériose, Arthropathie
Mots-clés Pascal anglais : Osteitis, Infant, Human, Child, Arthritis, Infection, Haemophilus influenzae, Pasteurellaceae, Bacteria, Epidemiology, Prevalence, Kingella kingae, Neisseriaceae, Micrococcales, Microbiological investigation, Diseases of the osteoarticular system, Bone disease, Bacteriosis, Arthropathy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0154229
Code Inist : 002B05B02J. Création : 21/07/1998.