OSTEOARTHRITIS IN THE NEONATE: RISK FACTORS AND OUTCOME

Osteoarthritis in the neonate: risk factors and outcome

Osteoarthritis in the neonate: risk factors and outcome

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here Objectives: The aim of this study was to identify the clinical, radiological, and bacteriological features, risk factors, and outcome of neonates with bone and joint infections.Study design: Observational, retrospective, and analytical study of 77 patients less than 2 months of age, admitted to a tertiary neonatal intensive care unit (NICU) with the diagnosis of bone or joint infection, based on clinical, radiological, and microbiological criteria.Results: Seventy-seven patients with 99 acute osteoarthritis foci in a 16 year period were included in the study.

Risk factors for infection could be identified in 69% of the patients.The hip was the most frequent.Staphylococcus aureus was the main isolated microorganism.

Twenty-nine read more infants (38%) had sequelae.Hip involvement, culture positive, and Staphylococcus aureus isolation were risk factors associated with sequelae.Conclusion: Osteoarticular infection is unusual in the neonate; however it is associated with an elevated incidence of sequelae.

This mandates for a high degree of suspicion to diagnose this potentially disabling entity.Keywords: osteoarthritis, neonate, Staphylococcus aureus.

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