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ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2002, Number 3

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Acta Ortop Mex 2002; 16 (3)

Medical, sociological and epidemiological characteristics of patients who have chronic bone infection. A report of 202 cases

Ramírez-Pérez E, Serrano MAT, León HSR

Language: Spanish
References: 28
Page: 155-160
PDF size: 46.07 Kb.


ABSTRACT

Objective. To determine the sociomedical and epidemiologic characteristics of the patient with bone infection (BI) in the National Center of Orthopedic-Rehabilitation, Mexico. Material and methods. A retrospective, transverse and descriptive study was carried out with a sample of 202 files registered from January 1, 1997 to December 31, 1998. It was intented to establish whether the characteristics of sex, age, schooling, marital status, and occupation of the patients were independent from the mechanisms of injury, affected bone, and evolution of the bone infection. In order to reject the corresponding of null hypotheses it was applied the Chi-square statistical test to predict the probability occurrence of a period of recovery smaller or greater than 12 months it was also used the logistic regression model. Results. The distribution by age, schooling and occupation was significantly different according to each sex (in all the cases p < 0.05); by comparison, women were older than men, with a low schooling and spent most of their time doing housework; women injured when tripped themselves whereas men were injured in accidents, violent, and highly-energetic (p = 0.00001); while women had injured their upper bones, men usually had injured their lower bones (p = 0.008). According to the logistic regression model, the predictive variables of a time of recovery greater than 12 months were the injured area femur and mechanism of injury (car hitting); on the contrary, injuries provoked by falls and housework occupation predicted a time of recovery smaller than 12 months. Discussion. The study confirms what has been stated by previous authors (that bone infection is more frequent in men of productive age, and the bone most affected is the tibia), but at the same time it reveals a different clinical and epidemiological behavior among the studied individuals depending on their sociomedical characteristics. Conclusion. It is concluded that bone infection shows the pathological characteristics of the social group that suffers it and to prevent the incidence of the problem is recommended to instrument programs of accident and violence prevention as well as improving the quality of medical attention.


REFERENCES

  1. Anuario estadístico. Instituto Nacional de Ortopedia, Secretaría de Salud. México, 1994 pp. 23, 31, 39 y 71.

  2. Anuario estadístico. Instituto Nacional de Ortopedia, Secretaría de Salud. México, 1994 pp. 23, 31, 39 y 68.

  3. Bryan RT, Noor S, Quraishi S, Bradish CF, Parikh D. Primary sternal osteomyelitis in infants: a report of two cases. J Pediatr Orthop B (United States) 1999; 8(2): 125-126.

  4. Cimerman M, Gunde-Cimerman N, Zalar P, Perkovic T. Femur osteomyelitis due to a mixed fungal infection in a previously healthy man. J Clin Microbiol (United States) 1999; 37(5): 1532-1535.

  5. Colchero F, Olivares C, Meléndez J, Barbosa S. Tratamiento de la no unión ósea con clavo Colchero. Cir Ciruj 1994; 62: 205-11.

  6. Colchero RF. Tratamiento integral del paciente con infección ósea. México. Ed. Trillas, 1990.

  7. Consejo Nacional de Población de la Secretaría de Gobernación. Situación Demográfica Nacional y Estatal, Esperanza de vida al nacimiento, 1998. INTERNET Dirección http://www.conapo.gob.mx/sitdemo98/sitdemo 1,2,3,4,5.

  8. Corral F, Cueva P, Yépez J, Montes E. La baja escolaridad como factor de riesgo en el cáncer de cuello de útero. Bol Of San Panam 1996; 121(6): 511-517.

  9. Devogelaer JP. Valoración de los riesgos y beneficios del uso de alendronato en el tratamiento de la osteoporosis involutiva. Drug Safety 1998; 19(2): 141-154.

  10. Dirección General de Estadística e Informática de la Secretaría de Salud. Estadísticas vitales, 1997. Mortalidad General, Secretaría de Salud, p. 6.

  11. Elú MC. México: Muertes maternas, patrones de fertilidad y costo social, un estudio antropológico. World Health Stat-Q. 1995; 48(1): 47-49.

  12. Foucaul M. El nacimiento de la clínica, México ed. Siglo XXI, 1987.

  13. Gillespie WJ. Epidemiology in bone and joint infection. Infect Dis Clin North Am (United States) 1990; 4(3): 361-376.

  14. Graafmans WC, et al. Falls in the elderly: a prospective study of risk factors and risk profiles. Am J Epidemiol 1996; 143: 1129-1136.

  15. Holtom PD, Smith AM. Introduction to adult posttraumatic osteomyelitis of the tibia. Clin Orthop (United States) 1999; (360): 6-13.

  16. Kannus P, Parkkari J. Epidemiology of hip fractures. Bone 1996; 18(Suppl): 57S-63S.

  17. Melton LJ. III. Epidemiology of spinal osteoporosis. Spine 1997; 22(24S): 2S-11S.

  18. Pereyra Acuña M, Martínez JV, Verbanaz S, Jordan R, Uriburu A, Efron ED. Osteomielitis vertebral, absceso epidural espinal y absceso del psoas por bacteroides frágiles. INTERNET Dirección

  19. http://www.anaerobe.org/ab98/53pp.htm.

  20. Pérez ZR. Epidemiología de la lesión medular traumática en el D.F., Tesis. México, D.F. 1998: 9-14.

  21. Piehl FC, Davis RJ, Prugh SI. Osteomyelitis in sickle cell disease. J Pediatr Orthop (United States) 1993; 13(2): 225-227.

  22. Saez-Llorens X, Velarde J, Canton C. Pediatric osteomyelitis in Panama. Clin Infect Dis (United States) 1994; 19(2): 323-324.

  23. Seligson D, Klemm K. Adult posttraumatic osteomyelitis of the tibial diaphysis of the tibial shaft. Clin Orthop (United States) 1999; (360): 30-36.

  24. Seye SI, Camara ES, Bassene N, Pouye I. Chronic osteomyelitis at Dantec UHC, at Dakar. Bull Soc Pathol Exot (France) 1994; 87(4): 238-240.

  25. Suedkarnp NP, Barbey N, Veuskens A, Tempka A, Haas NP, Hoffmann R, Tscherne H. The incidence of osteitis in open fractures: an analysis of 948 open fractures (a review of the Hannover experience). J Orthop Trauma (United States), 1993; 7(5): 473-482.

  26. Waldvogel FA, Vasey H. Osteomyelitis: The past decade. N Engl J Med 1980; 303: 306-370.

  27. Wang MN, Chen WM, Lee KS, Chin LS, Lo WH. Tuberculous osteomyelitis in young children. J Pediatr Orthop (United States) 1999; 19(2): 151-155.

  28. Yen HL, Kong KH, Chan W. Infectious disease of the spine: outcome of rehabilitation. Spinal Cord (England) 1998; 36(7): 507-513.




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