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RMJ. 2016; 41(2): 212-215


The treatment of inappropriately treated Methicillin Resistant Staph Aureus osteomyelitis in pediatric age group.

Raed Miteb Al-Zaben, Mouhamed Al alwan, Asem Al Majali, Jamal Rahayma, Areej Al-Zaben.

Abstract
Objective: To determine the outcome of pediatric patients with Methicillin Resistant Staph Aureus (MRSA) osteomyelitis which were treated inappropriately before presenting to us.
Methodology: We analyzed five cases of MRSA osteomyelitis, which presented to our clinic between of 2013-2015. The mean age was 5.8 years and they were inappropriately treated before presentation to our center.
Results: Multiple surgical drainage procedures were done in all cases. Vancomycin was used in all five patients, in addition to TMP–SMX or rifampicin. Both Erythrocyte sedimentation rate and C-reactive protein were monitored to see response to therapy. All recovered according to a clinical, laboratory and radiological criteria.
Conclusion: MRSA osteomyelitis in pediatric age group can be treated effectively with appropriate surgical and medical treatment based on established guidelines.

Key words: Osteomyelitis, pediatric, MRSA, staph aureus.


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