Pediatrics questions



Table of Contents

Prevention — Page:5

  • Question 1: Are pediatric patients on oral or intravenous steroids at an increased risk of developing septic arthritis? — Page:6

Diagnosis — Page:8

  • Question 1: What are the essential tests that need to be done in pediatric patients with joint infections? — Page:9
  • Question 2: Are there conditions where the ESR and other blood tests are unreliable for diagnosis of pediatric musculoskeletal infections? — Page:13
  • Question 3: For pediatric patients with suspected septic arthritis, does the clinical criteria override inconclusive laboratory tests? — Page:16
  • Question 4: Is there a role for arthrocentesis (joint puncture) of an infected joint in a pediatric patient? — Page:19
  • Question 5: Is there a role for percutaneous bone sampling (biopsy) for microbiological diagnosis of septic arthritis/osteomyelitis? If so, when should this be performed? — Page:22
  • Question 6: Is there any role for PCR or molecular testing in pediatric musculoskeletal infection (PMSI)? — Page:26
  • Question 7: How can we differentiate between sickle cell crisis and septic arthritis/osteomyelitis? — Page:29

Treatment — Page:32

  • Question 1: What are the indications for surgical intervention in cases of osteomyelitis/septic arthritis? — Page: How should treatment progress and resolution be monitored? — Page:33
  • Question 2: How radical should surgery be for osteomyelitis/septic arthritis? — Page:38
  • Question 3: Is there a role for arthroscopic washout in children with septic arthritis? — Page:41
  • Question 4: Should the length of antibiotic usage be difference for a primary septic arthritis versus osteomyelitis? — Page:44
  • Question 5: Do steroids have a chondroprotective effect in children with septic arthritis? — Page:48
  • Question 6: What is the optimal management of septic arthritis/osteomyelitis caused by methicillin-resistant Staphylococcus aureus? — Page:53
  • Question 7: What is the best management for tuberculosis of the musculoskeletal system in children? — Page:57
  • Question 8: What is the role of host gene expression and severity of acute osteoarticular infection in children; especially MRSA infection? — Page:60