Arnold John C, Bradley John S
Pediatrics and Infectious Diseases, Naval Medical Center, San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134, USA.
Division of Infectious Diseases, Department of Pediatrics, Rady Children's Hospital San Diego, University of California San Diego School of Medicine, San Diego, CA, USA.
Infect Dis Clin North Am. 2015 Sep;29(3):557-74. doi: 10.1016/j.idc.2015.05.012.
For a child with a suspected bone or joint infection, knowledge of the workup and initial therapy is important to provide quality care. Fever and pain are hallmarks of a pediatric osteoarticular infection, although occasionally the signs and symptoms can be more subtle. The use of C-reactive protein to diagnose and validate effective management of treatment has become standard. Multiple reports confirm the success of much shorter intravenous (IV) courses than traditionally taught. The ideal IV and oral antibiotic duration, as well as defining the markers indicating need for surgical intervention, are questions yet to be answered.
对于疑似患有骨或关节感染的儿童,了解检查方法和初始治疗对于提供优质护理至关重要。发热和疼痛是小儿骨关节炎感染的标志,尽管有时体征和症状可能更为隐匿。使用C反应蛋白来诊断和验证治疗的有效管理已成为标准做法。多项报告证实,与传统教导的疗程相比,静脉注射(IV)疗程短得多也能取得成功。理想的静脉注射和口服抗生素疗程,以及确定表明需要手术干预的指标,仍是有待解答的问题。