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Medicina Universitaria

2007, Number 36

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Med Univer 2007; 9 (36)

Neonatal osteomyelitis

Rodríguez TKI, Rodríguez BI, Cavazos EME

Language: Spanish
References: 13
Page: 123-129
PDF size: 167.26 Kb.


ABSTRACT

Osteomyelitis is defined as a localized or generalized bone or bone marrow infection, is uncommon during the first 4 weeks of life, with an incidence of 1 to 3 cases per 1000 admissions to the Neonatal Intensive Care Unit (NICU). The microorganisms responsible for the osteomyelitis partially reflect the etiology of the neonatal sepsis, being the most frequent Staphylococcus aureus and group B Streptococcus. The most common infection route is the blood borne dissemination in the course of neonatal sepsis. A needle aspiration of the inflammatory area can help institute a fast diagnosis and the radiographs are still described as the most useful method to establish the diagnosis of neonatal osteomyelitis. The successful treatment of the osteomyelitis depends on an early diagnosis and identification of the infectious agent and must be established with antibiotics through a parenteral route. This reduces the complications and mortality of the patients.


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