Therapeutic Aspects of Chronic Bone Infections and Management Challenges

• 作者: Abdoulaye Ndiaye Alioune Badara Guèye André Sané Charles Diémé Lamine Sarr Ndeye Fatou Coulibaly Seydina Sèye
• 来源期刊: 矫形学期刊(英文)
• 学科: 医学
• 关键词: CHRONIC BONE INFECTION Management CHALLENGES
• 年，卷（期）: 2014,（2）
• 页码范围: 21-26
• 页数: 6页
• 分类号: R73

摘要

This study aims to investigate various aspects of the treatment of chronic bone infections and the challenges in their management. The characterization of treatment of 73 patients with chronic bone infection was reported. The four management challenges including consultation delay, immune depression, extreme variety of clinical manifestations and non-use of CT or MRI were discussed in this study. We conducted a retrospective study at Aristide Le Dantec Hospital on 90 cases of chronic bone infection in 73 patients. The mean duration of symptoms before consultation was 36 months. More than half of the patients had a productive fistula at the first consultation. Sickle cell anemia was found in 6 patients. Multiple lesions were found in 10 patients;and long bones were affected in 90% of cases. The bacterial culture was positive in 93.15%. Staphylococcus aureus was the most isolated germ (68.35%). Seventy-two out of seventy-three patients were operated on. The procedure depended on anatomical and radiological lesions. Surgical treatment was associated with antibiotherapy which was firstly probabilistic and secondarily adapted to the results of bacterial culture. A favorable trend was found in 41 patients (56.16%). 32 cases of adverse effects were noted (43.83%), and 27 patients had recurrence after a favorable outcome. Several complications and sequelae were observed demonstrating the tenacity of these chronic infections.