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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A prospective study of pyogenic sepsis of the hip in childhood
Journal of Bone and Joint Surgery - Series B, Volume 89, No. 1, Year 2007
Notification
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Description
Between September 2004 and December 2005 we carried out a prospective study of all cases of sepsis of the hip in childhood at a South African regional hospital with a large local population, and which also took referrals from nine rural hospitals. The clinical, radiological, ultrasound and bacteriological features were assessed. All the hips were drained by arthrotomy and the diagnosis was confirmed microbiologically and histologically. Hips with tuberculosis were excluded. The children were reviewed in a dedicated clinic at a mean follow-up of 8.1 months (3 to 18). There were 40 hips with sepsis in 38 patients. Two patients were lost to follow-up. Nine (24%) had multi-focal sepsis. Overall, 13 hips (34%) had a full and uncomplicated clinical and radiological recovery and 25 (66%) had complications. All patients treated by arthrotomy and appropriate antibiotics within five days of the onset of symptoms had an uncomplicated recovery. Initial misdiagnosis was associated with a delay to arthrotomy. However, 'deprivation', consultation with a traditional healer, maternal educational attainment and distance to a primary health-care facility were not associated with delay to arthrotomy. The early correct diagnosis of this condition, common in the developing world, remains a significant factor in improving the clinical outcome. © 2007 British Editorial Society of Bone and Joint Surgery.
Authors & Co-Authors
Nunn, Timothy R.
United Kingdom, Huddersfield
Huddersfield Royal Infirmary
Cheung, W. Y.
United Kingdom, Cardiff
University of Wales
Rollinson, Paul D.
South Africa, Empangeni
Ngwelezana Hospital
Statistics
Citations: 78
Authors: 3
Affiliations: 3
Identifiers
Doi:
10.1302/0301-620X.89B1.17940
ISSN:
0301620X
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study