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Infections ostéo-articulaires aigües de l'enfant et fièvre persistante : la température est-elle un critère d'efficacité de l'antibiothérapie ?

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Published in Revue de chirurgie orthopédique. 2003, vol. 89, no. 3, p. 250-6
Abstract Bone and joint infections are challenging therapeutic situations requiring rapid antibiotic therapy as soon as bacteriology specimens have been obtained. Laboratory tests (C reactive protein, erythrocyte sedimentation rate, white cell count) and clinical findings are used to assess therapeutic efficacy. Most of the clinical signs however, particularly in children or after a surgical procedure, are not explicit enough to allow proper assessment of the clinical course under antibiotic therapy. Body temperature is the only parameter currently used in routine practice. But the measurement of body temperature is not always reliable and variations observed during treatment should not always be attributed to treatment failure. The purpose of this work was to assess the significance of changes in body temperature observed in children given effective intravenous antibiotic treatment for bone and joint infections.
Keywords AdolescentAnti-Bacterial Agents/therapeutic useBacterial Infections/complications/diagnosis/drug therapyBiological MarkersBlood SedimentationBone Diseases/complications/diagnosis/drug therapyC-Reactive Protein/analysisChildChild, PreschoolDiagnosis, DifferentialFemaleFever/etiologyHumansInfantInfant, NewbornJoint Diseases/complications/diagnosis/drug therapyMaleMonitoring, PhysiologicRetrospective Studies
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PMID: 12844049
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CERONI, Dimitri et al. Infections ostéo-articulaires aigües de l'enfant et fièvre persistante : la température est-elle un critère d'efficacité de l'antibiothérapie ?. In: Revue de chirurgie orthopédique et réparatrice de l'appareil moteur, 2003, vol. 89, n° 3, p. 250-6. https://archive-ouverte.unige.ch/unige:55324

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Deposited on : 2015-04-09

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