Abstract
Musculoskeletal infection in pediatrics is a disorder that can cause significant disability. Follow-up evaluation is mandatory to ensure good long-term results. However, there is no data regarding this in Indonesia. The purpose of this study was to describe the epidemiology of musculoskeletal infections in pediatrics in Indonesia. This study is an observational epidemiological study of all pediatric musculoskeletal infection patients at Saiful Anwar Hospital Malang, Indonesia. All data were obtained from the database of the Department of Orthopedics and Traumatology of Saiful Anwar Hospital for the 2016-2020 period. A total of 71 patients were included in this study. The data collected were age, gender, diagnosis, anatomic location, treatment, and outcome. There were 48 (67.60%) male and 23 (32.39%) female patients in our study. The most frequent site of infection was the lower extremities (57.75%), followed by the spine (35.21%). In this study, the highest incidence occurred in children (6-12 years) followed by adolescents (12-18 years). This study also showed similar findings to other studies for the site of infection where the most common infection involved the lower extremities. Multidisciplinary treatment must be undertaken to reach an accurate diagnosis, determine the need for surgery, and monitor response to treatment.
Highlights
Musculoskeletal infections in pediatrics are infections of bones, joints, and other soft tissues that are generally caused by bacteria
Understanding, early diagnosis, and treatment of bone, joint, and soft tissue infections continues to improve over time so it is important for orthopedic surgeons to have an understanding of the etiology, diagnosis, basic treatment principles, and current advances to achieve optimal outcomes and prevent sepsis. and long-term morbidity.[1]
About half of all pediatric musculoskeletal infections occur in children under five years of age and boys are twice as likely to be infected as girls
Summary
Musculoskeletal infections in pediatrics are infections of bones, joints, and other soft tissues that are generally caused by bacteria. This disorder often causes significant disability in children. The increasing virulence of infectious agents and the prevalence of antimicrobial-resistant pathogens, methicillin-resistant Staphylococcus aureus (MRSA), have led to a more complicated clinical process for diagnosis and management. This is evidenced by an increase in the length of stay in the hospital, the incidence of complications, and the number of surgical interventions performed. Musculoskeletal infections are a challenge for orthopedic surgeons because the percentage and treatment required varies greatly, based on the causative organism, site of infection, and the age of the patient.[3,4]
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