STAPH AUREUS AS THE MOST COMMON CAUSE OF OSTEOARTICULAR INFECTION IN DOST â€“ 1 MAYO HOSPITAL, LAHORE
Background: Infection of the bone or bone marrow simply means osteomyelitis. The classification is
Assistant Professor Dept of Orthopedic Surgery
Amna Inayat Medical College, Lahore
Assistant Professor, Department of Orthopedic Surgery
Mohtarma Benazir Bhutto Shaheed Medical College Mirpur, AJK
Assistant Professor, Department of Orthopedics
Spine Surgery and Traumatology, KEMU / Mayo Hospital
Resident Department of Orthopedic Surgery
KEMU / Mayo Hospital, Lahore
Assistant Professor of Orthopedic Surgery
PGMI / Lahore General Hospital, Lahore
Associate Professor, Department of Physiology
Amina Innayat Medical College, Lahore
Head of Orthopedic Surgery, Children Hospital, Lahore
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 1st week, at 6th week 123 (61.5%) patients had positive culture sensitivity and at 16th 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.
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