[Bacterial osteomyelitis and arthritis in Icelandic XXXX 1996-2005].

@entity1 @entity4034 @entity794 @entity5414
OBJECTIVE: The main objective was to determine the incidence and causative pathogens of @entity4034 and @entity5414 in Icelandic @entity1 , as well as presenting symptoms and diagnosis. METHODS: A nationwide retrospective review was done of all @entity1 <18 year old, 1996-2005. Subjects were divided into three equal age groups, 0-5, 6-11 and 12-17 years old. Cultures were reviewed and postive and negative cases compared. RESULTS: Over the study period 220 cases were identified, 161 @entity4034 and 59 @entity5414 cases. The incidence increased significantly over the period (p=0.019), mostly in the youngest age group (p<0.001) with @entity4034 . Incidence of cases with a pathogen identified was unchanged over the period while culture negative cases increased significantly (p<0.001). Median age for @entity4034 (6,1 years) was higher than in cases of septic arthitis (1,8 years) (p=0.003). A pathogen was identified in 59% of cases with @entity4034 and 44% with @entity5414 . @entity794 was most common (65% and 27%, respectively) and K. kingae was second most common pathogen (7% and 11%, respectively). Methicillin resistant @entity794 was not identified. The tibia and knee were the predominant sites for @entity4034 and @entity5414 respectively. CONCLUSIONS: An increased incidence was found in the youngest age group with @entity4034 , especially in cases without a pathogen identified. The most commonly cultured pathogen was @entity794 , followed by K. kingae. A more sensitive technique to identify pathogens might be indicated in culture negative cases.
