Profile of Osteomyelitis Patients Visiting the Orthopedic Clinic of Dr. Hasan Sadikin General Hospital, Indonesia, in 2017–2018

Aditya Nugraha; Hermawan Nagar Rasyid; Hadyana Sukandar

doi:10.15850/amj.v8n1.2075

Profile of Osteomyelitis Patients Visiting the Orthopedic Clinic of Dr. Hasan Sadikin General Hospital, Indonesia, in 2017–2018

Aditya Nugraha, Hermawan Nagar Rasyid, Hadyana Sukandar

Abstract

Background: Osteomyelitis is an inflammatory process caused by microorganism infection that leads to bone destruction. Osteomyelitis may affect all bones, particularly long bones, and infects all ages. This disease is hard to diagnose and the treatment is complex due to the disease’s heterogenicity, pathophysiology, clinical presentation, and management. This study aimed to determine the profile of osteomyelitis inpatients and outpatients presented to the Orthopedic Clinic of Dr. Hasan Sadikin General Hospital Bandung, Indonesia

Methods: This was a descriptive cross-sectional study conducted from July to October 2019 using the total sampling method. Data were collected from the medical records of osteomyelitis inpatients and outpatients presented to the Orthopedic Clinic of Dr. Hasan Sadikin General Hospital Bandung, Indonesia from 2017–2018. Data were then analyzed descriptively and the results were presented in frequencies.

Result: In total, 90 data were retrieved. Most of data presented male patients (n= 69, 76.7%) with the age range of 20–29 years old (24.4%). The majority of these patients experienced chronic onset of disease (94.4%) located on the tibia (51.1%), which was caused by a post-operative procedure (61.1%). The most common treatment was operative procedure without antibiotic beads (51.1%). Staphylococcus aureus was the common pathogens identified in these patients (22.2%).

Conclusion: The majority of osteomyelitis patients are males in productive age with chronic onset of disease located on the tibia caused by a post-operative procedure. Staphylococcus aureus is the common pathogen involved and the most common treatment is an operative procedure without antibiotic beads.

Keywords

Infection, osteomyelitis, Staphylococcus aureus

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References

Prieto-pérez L, Pérez-tanoira R, Petkova-saiz E, Pérez-jorge C, Lopez-rodriguez C, Alvarez-alvarez B, et al. Osteomyelitis : a descriptive study. Clin Orthop Surg. 2014;6(1)20–5.

Taki H, Krkovic M, Moore E, Abood A, Norrish A. Chronic long bone osteomyelitis: diagnosis, management and current trends. Br J Hosp Med (Lond). 2016;77(10):C161–4.

Calhoun JH, Manring MM, Shirtliff M. Osteomyelitis of the long bones. Semin Plast Surg. 2009;23(2):59–72.

Kremers HM, Nwojo ME, Ransom JE, Wood-Wentz CM, Melton 3rd LJ, Huddleston 3rd PM. Trends in the epidemiology of osteomyelitis a population-based study, 1969 to 2009. J Bone Joint Surg Am 2015;97(10):837–45.

Rightmire E, Zurakowski D, Vrahas M. Acute infection after fracture repair; management with hardware in place. Clin Orthop Relat Res. 2008;466(2):466–72.

Panteli M, Giannoudis P V. Chronic osteomyelitis: what the surgeon needs to know. EFORT Open Rev. 2017;1(5):128–35.

Solomon L, Warwick DJ, Nayagam S. Apley’s and Solomon's concise system of orthopaedics and trauma. 4th ed. Boca Raton: CRC Press; 2014

Michno A, Nowak A, Królicki L. Review of contemporary knowledge of osteomyelitis diagnosis. World Scientific News. 2018;92(2):272–82.

Lew, DP, Waldvogel F. Osteomyelitis. Lancet. 2004;364(9431):369–79.

Roy M, Somerson JS, Kerr KG, Conroy JL. Pathophysiology and pathogenesis of osteomyelitis. In: Baptista MS, editor. Osteomyelitis. London: IntechOpen; 2012 [cited 2019 May 11] Available from: https://www.intechopen.com/books/osteomyelitis/pathophysiology-and-pathogenesis

Lima ALL, Oliveira PR, Carvalho VC, Cimerman S, Savio E; Diretrizes Panamericanas para el Tratamiento de las Osteomielitis e Infecciones de Tejidos Blandos Group. Recommendations for the treatment of osteomyelitis. Braz J Infect Dis. 2014;18(5):526–34.

Albertus AW, Sutejo B. Pengelolaan pasien osteomielitis kronis di RSUP Dr . Kariadi Semarang Periode 2001-2005 [Minor thesis]. Semarang; Dipenogoro University; 2007 [cited 2019 May 11]. Available from: http://eprints.undip.ac.id/22318/1/Albertus.pdf

Indira SA, Lokarjana L, Pohan DK. Gambaran pasien osteomielitis kronis di Bagian Bedah Orthopaedi RSUP Dr. Hasan Sadikin Bandung Periode Januari 2011 - Desember 2016 [Minor thesis] Cimahi: Universitas Jenderal Ahmad Yani; 2017 [cited 2019 May 11]. Available from: http://repository.unjani.ac.id/index.php?p=show_detail&id=375

Angela ZA, Tomuka DCh, Siwu J. Pola luka pada kasus kecelakaan lalu lintas di BLU RSU Prof. Dr. R. D. Kandou Manado periode 2010-2011, e-Biomedik (eBM). 2013;1(1):676-85.

Chiappini E, Camposampiero C, Lazzeri S, Indolfi G, De Martino M, Galli L. Epidemiology and management of acute haematogenous osteomyelitis in a tertiary paediatric center. Int J Environ Res Public Health. 2017;14(5):477.

Aytaç S, Schnetzke M, Swartman B, Herrmann P, Woelfl C, Heppert V, et al. Posttraumatic and postoperative osteomyelitis : surgical revision strategy with persisting fistula. Arch Orthop Trauma Surg. 2014;134(2)159–65.

Hagen R. Osteomyelitis after operative fracture treatment : a report of 62 cases treated with radical surgery and lincomycin ( Lincocin® ). Acta Orthop Scand. 1978;49(6):542-548.

Rasyid HN. Konsep baru dalam pembuatan beads mengandung campuran antibiotik dan polymethylmethacrylate untuk terapi osteomielitis kronis [dissertation]. Bandung: Universitas Padjadjaran; 2006.

Carek PJ, Dickerson LM, Sack JL. Diagnosis and management of osteomyelitis. Am Fam Physician. 2001;63(12):2413–20.

Groll ME, Woods T, Salcido R. Osteomyelitis: a context for wound management. Adv Ski Wound Care. 2018;31(6):253–62.

DOI: https://doi.org/10.15850/amj.v8n1.2075