Microbiological Spectrum of Osteoarticular Infections and Their Management in Mongolian Children.

IF 1.4 Q3 PEDIATRICS Global Pediatric Health Pub Date : 2024-11-19 eCollection Date: 2024-01-01 DOI:10.1177/2333794X241298801

Munkhtulga Ulziibat, Michael Buettcher, Uuganbayar Altankhuyag, Battulga Chuluunbaatar, Zorigtbaatar Mikhlay, Chimgee Sharav, Sarantsetseg Bira, Stefan Essig, Nicole Ritz, Bayalag Munkhuu

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Abstract

Introduction. Osteoarticular infections (OI) in children cause considerable morbidity with associated long-lasting sequelae. Comprehensive clinical and microbiological data in Mongolian children are missing. Objectives. To generate epidemiological, clinical and microbiological data on osteoarticular infections (OI) in Mongolian children after the introduction of a standardized management protocol. Methods. A prospective study was done between 2019 and 2022 at the only tertiary pediatric hospital in Mongolia. Results. Forty-two children presented with septic arthritis (SA), 6 with osteomyelitis (OM) and 23 with combined SA and OM. Newborns and young infants (≤3 months) comprised 38.%. A causative organism was identified in 38 children: Staphylococcus aureus (n = 31), Klebsiella spp (n = 3), Enterobacter spp (n = 2), Enterobacter spp + Klebsiella spp (n = 1) and Candida albicans (n = 1). Five children (7%) had sequelae. Mongolian children with OI were younger compared to other cohorts. Conclusion. A standardized protocol for the management of OI in children was taken up well by the patients and treating staff leading to improved pathogen detection, facilitating antimicrobial stewardship in the future.

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蒙古儿童骨关节感染的微生物谱及其处理方法

导言。儿童骨关节感染（OI）会导致相当高的发病率和相关的长期后遗症。目前还没有蒙古儿童的全面临床和微生物学数据。目标。在采用标准化管理方案后，收集蒙古儿童骨关节感染（OI）的流行病学、临床和微生物学数据。方法。2019 年至 2022 年期间，在蒙古唯一一家三级儿科医院进行了一项前瞻性研究。研究结果42名儿童患有化脓性关节炎（SA），6名儿童患有骨髓炎（OM），23名儿童同时患有SA和OM。新生儿和婴幼儿（≤3个月）占38.0%。38 名儿童的致病菌均已确定：金黄色葡萄球菌（31 例）、克雷伯氏菌（3 例）、肠杆菌（2 例）、肠杆菌 + 克雷伯氏菌（1 例）和白色念珠菌（1 例）。五名儿童（7%）有后遗症。与其他队列相比，患有口腔感染的蒙古儿童年龄更小。结论。患者和医护人员对儿童感染性口炎的标准化治疗方案接受度很高，从而提高了病原体检测水平，有利于今后的抗菌药物管理。

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