Evaluation of the current use of imaging modalities and pathogen detection in children with acute osteomyelitis and septic arthritis

Conclusion: Optimal use of imaging modalities including MRI and systematic pathogen detection including NAT should be advocated to limit use of broad spectrum antibiotics and treatment duration.What is Known:• Magnetic resonance imaging and sonography have the best sensitivity for detection of acute osteomyelitis and septic arthritis in children.• Systematic use of blood cultures, tissue cultures and nucleic acid testing improves pathogen detection in children with acute osteomyelitis and septic arthritis.What is New:• The added value of imaging modalities other than magnetic resonance and sonography for detection of osteomyelitis and septic arthritis is limited, and their routine use should be questioned.• Despite availability of optimal pathogen detection methods, missed opportunities to improve pathogen detection are frequent.
Source: European Journal of Pediatrics - Category: Pediatrics Source Type: research