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Revista Médica del Uruguay
versão impressa ISSN 0303-3295versão On-line ISSN 1688-0390
Resumo
TENAGLIA, Karina; SOSA, Alexis e MEDINA, Julio. Osteoarticular infections: epidemiology, etiology and clinical evolution in a national reference center. Rev. Méd. Urug. [online]. 2023, vol.39, n.2, e205. Epub 01-Jun-2023. ISSN 0303-3295. https://doi.org/1688-0390-rmu-39-2-e205.
Introduction:
osteoarticular infections are a complex condition that are gradually increasing in prevalence. Learning about its clinical presentation, etiology and evolution will enable improving its management.
Method:
observational, retrospective study of cases seen at the National Orthopedic and Traumatology Institute from January 1st, 2020 to December 31st, 2020. All adult patients admitted with clinical diagnosis of osteoarticular infection who were assisted jointly by the Infectious Diseases and Traumatology units in the above mentioned period were included in the study. All cases had at least one deep microbiological cultures.
Results:
there were 132 patients with osteoarticular infection, female to male ratio was 2-to-1 and average age was 53 years old. Clinical presentation was characterized by pain, fistula and local fluxiye signs. The most frequent infections were fracture and prosthetic joint infections. Fifty four percent of infections were caused by gram-positive coccus, 31% were caused by enterobacteria and 13% by nonfermenting gram-negative bacilli (NFGNB). As to the sensitivity profile, 33% of cocci were methicillin-resistant and 43% of enterobacteria were multidrug-resistant.
Conclusions:
the most frequent pathology in 2 out of three hospitalizations were fracture infection and infections in orthopedic-related devices. The usual complexity.
Palavras-chave : Osteo-articular infection; Osteomyelitis; Prosthesis-related infections.