STAPH AUREUS AS THE MOST COMMON CAUSE OF OSTEOARTICULAR INFECTION IN DOST – 1 MAYO HOSPITAL, LAHORE

Abstract

Abstract

Background:  Infection of the bone or bone marrow simply means osteomyelitis. The classification is

Chaudhry A.A.¹

Assistant Professor Dept of Orthopedic Surgery

Amna Inayat Medical College, Lahore

Rafiq A.²

Assistant Professor, Department of Orthopedic Surgery

Mohtarma Benazir Bhutto Shaheed Medical College Mirpur, AJK

Raza J.H.³

Assistant Professor, Department of Orthopedics

Spine Surgery and Traumatology, KEMU / Mayo Hospital

Lahore

Gillani SFH⁴

Resident Department of Orthopedic Surgery

KEMU / Mayo Hospital, Lahore

Malik A.L.⁵

Assistant Professor of Orthopedic Surgery

PGMI / Lahore General Hospital, Lahore

Farqaleet S.⁶

Associate Professor, Department of Physiology

Amina Innayat Medical College, Lahore

Sami A.L.⁷

Head of Orthopedic Surgery, Children Hospital, Lahore

Awais S.M.⁸

Chairman, Department of Orthopedics, Spine Surgery and Traumatology, KEMU / Mayo Hospital, Lahore

based on the type of bacteria, route, duration, and ana-tomical location of the involved area. Commonly it occurs due to exposure of the bone to the local infect-ion. It usually requires prolong treatment lasting from weeks to months and may requires surgical intervent-ion. Severe cases may lead to the loss of a limb.

Objective:  To determine the most common causative organism of osteoarticular infection in Department of Orthopaedics Surgery and Traumatology, Mayo Hos-pital, Lahore.

Methodology:  This longitudinal interventional study was conducted at DOST, Mayo Hospital Lahore for period of two years. Total 200 patients with osteoarti-cular infections were included. Informed consent and demographic detail was obtained. Patients were fol-lowed-up in OPD for 24 weeks post-operatively to assess the outcome of the procedure.

Results:  There were 180 (90%) males and 20 (10%) females. There were 39 (19.5%) patients who had upper limb infection, 147 (73.5%) patients with lower limb infections and 14 (7%) patients presented with septic arthritis of lower limb. Detailed clinical history of the patients shows that there were 186 (93%) pati-ents who had previous history of trauma while 14 (7%) did not report trauma. Final outcome was assessed through a scoring system by Jaberi FM. After assess-ment, it was revealed that Culture sensitivity was posi-tive in 188 (61.5%) patients at 1^st week, at 6^th week 123 (61.5%) patients had positive culture sensitivity and at 16^th week, 52 (26%) cases had positive culture sensitivity. Causative organism were also given in the table Staph Aureus was the organism which cause infection in 96% of the patients.

Conclusion:  Most cases are post-traumatic and Staph Aureus is the most common causative organism found. Chronic Osteomyelitis is prevalent than acute one.

Key words:  Osteoarticular infections, osteomyelitis, Staphylococcus aureus, Discharge, Pain, Swelling.