The Epidemiology of Osteomyelitis in Children

Pediatric osteomyelitis remains challenging to treat. Detailed epidemiological data are required to estimate future developments. Therefore, we aimed to analyze how the incidence has changed over the last decade depending on age, gender, osteomyelitis subtype, and anatomical localization. Cases were...

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Autores principales:	Nike Walter, Susanne Bärtl, Volker Alt, Markus Rupp
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	osteomyelitis bone infection pediatrics epidemiology Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/4f6ac1cae04a4f9d918ce3dcd711261a
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spelling	oai:doaj.org-article:4f6ac1cae04a4f9d918ce3dcd711261a2021-11-25T17:14:23ZThe Epidemiology of Osteomyelitis in Children10.3390/children81110002227-9067https://doaj.org/article/4f6ac1cae04a4f9d918ce3dcd711261a2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1000https://doaj.org/toc/2227-9067Pediatric osteomyelitis remains challenging to treat. Detailed epidemiological data are required to estimate future developments. Therefore, we aimed to analyze how the incidence has changed over the last decade depending on age, gender, osteomyelitis subtype, and anatomical localization. Cases were quantified for patients aged 20 years or younger, using yearly reported ICD-10 diagnosis codes from German medical institutions for the time period 2009 to 2019. Incidence rates of osteomyelitis increased by 11.7% from 8.2 cases per 100,000 children in 2009 to 9.2 cases per 100,000 children in 2019. The age-specific incidence rate revealed the highest occurrence of osteomyelitis in patients aged 10–15 years (15.3/100,000 children), which increased by 23% over the observation period, followed by the age group 5–10 years (9.7/100,000 children). In 2019, out of all diagnoses, 39.2% were classified as acute, 38.4% as chronic, and 22.4% were unspecified, whereby chronic cases increased by 38.7%. The lower extremity was mainly affected, with 58.9% of osteomyelitis diagnoses in 2019. In conclusion, pediatric osteomyelitis is a serious issue, even in a developed and industrialized country such as Germany. Considering the recent incidence increase, the permanent need for appropriate treatment should let pediatricians and orthopedic surgeons deal with diagnosis and treatment protocols.Nike WalterSusanne BärtlVolker AltMarkus RuppMDPI AGarticleosteomyelitisbone infectionpediatricsepidemiologyPediatricsRJ1-570ENChildren, Vol 8, Iss 1000, p 1000 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	osteomyelitis bone infection pediatrics epidemiology Pediatrics RJ1-570
spellingShingle	osteomyelitis bone infection pediatrics epidemiology Pediatrics RJ1-570 Nike Walter Susanne Bärtl Volker Alt Markus Rupp The Epidemiology of Osteomyelitis in Children
description	Pediatric osteomyelitis remains challenging to treat. Detailed epidemiological data are required to estimate future developments. Therefore, we aimed to analyze how the incidence has changed over the last decade depending on age, gender, osteomyelitis subtype, and anatomical localization. Cases were quantified for patients aged 20 years or younger, using yearly reported ICD-10 diagnosis codes from German medical institutions for the time period 2009 to 2019. Incidence rates of osteomyelitis increased by 11.7% from 8.2 cases per 100,000 children in 2009 to 9.2 cases per 100,000 children in 2019. The age-specific incidence rate revealed the highest occurrence of osteomyelitis in patients aged 10–15 years (15.3/100,000 children), which increased by 23% over the observation period, followed by the age group 5–10 years (9.7/100,000 children). In 2019, out of all diagnoses, 39.2% were classified as acute, 38.4% as chronic, and 22.4% were unspecified, whereby chronic cases increased by 38.7%. The lower extremity was mainly affected, with 58.9% of osteomyelitis diagnoses in 2019. In conclusion, pediatric osteomyelitis is a serious issue, even in a developed and industrialized country such as Germany. Considering the recent incidence increase, the permanent need for appropriate treatment should let pediatricians and orthopedic surgeons deal with diagnosis and treatment protocols.
format	article
author	Nike Walter Susanne Bärtl Volker Alt Markus Rupp
author_facet	Nike Walter Susanne Bärtl Volker Alt Markus Rupp
author_sort	Nike Walter
title	The Epidemiology of Osteomyelitis in Children
title_short	The Epidemiology of Osteomyelitis in Children
title_full	The Epidemiology of Osteomyelitis in Children
title_fullStr	The Epidemiology of Osteomyelitis in Children
title_full_unstemmed	The Epidemiology of Osteomyelitis in Children
title_sort	epidemiology of osteomyelitis in children
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/4f6ac1cae04a4f9d918ce3dcd711261a
work_keys_str_mv	AT nikewalter theepidemiologyofosteomyelitisinchildren AT susannebartl theepidemiologyofosteomyelitisinchildren AT volkeralt theepidemiologyofosteomyelitisinchildren AT markusrupp theepidemiologyofosteomyelitisinchildren AT nikewalter epidemiologyofosteomyelitisinchildren AT susannebartl epidemiologyofosteomyelitisinchildren AT volkeralt epidemiologyofosteomyelitisinchildren AT markusrupp epidemiologyofosteomyelitisinchildren
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The Epidemiology of Osteomyelitis in Children

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