Microbiological Spectrum of Osteoarticular Infections and Their Management in Mongolian Children

Introduction. Osteoarticular infections (OI) in children cause considerable morbidity with associated long-lasting sequelae. Comprehensive clinical and microbiological data in Mongolian children are missing. Objectives. To generate epidemiological, clinical and microbiological data on osteoarticular...

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Published in:	Global pediatric health Vol. 11; p. 2333794X241298801
Main Authors:	Ulziibat, Munkhtulga, Buettcher, Michael, Altankhuyag, Uuganbayar, Chuluunbaatar, Battulga, Mikhlay, Zorigtbaatar, Sharav, Chimgee, Bira, Sarantsetseg, Essig, Stefan, Ritz, Nicole, Munkhuu, Bayalag
Format:	Journal Article
Language:	English
Published:	Sage CA: Los Angeles, CA SAGE Publications 01-01-2024 SAGE Publishing
Subjects:	Infectious Diseases - Original
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Abstract	Introduction. Osteoarticular infections (OI) in children cause considerable morbidity with associated long-lasting sequelae. Comprehensive clinical and microbiological data in Mongolian children are missing. Objectives. To generate epidemiological, clinical and microbiological data on osteoarticular infections (OI) in Mongolian children after the introduction of a standardized management protocol. Methods. A prospective study was done between 2019 and 2022 at the only tertiary pediatric hospital in Mongolia. Results. Forty-two children presented with septic arthritis (SA), 6 with osteomyelitis (OM) and 23 with combined SA and OM. Newborns and young infants (≤3 months) comprised 38.%. A causative organism was identified in 38 children: Staphylococcus aureus (n = 31), Klebsiella spp (n = 3), Enterobacter spp (n = 2), Enterobacter spp + Klebsiella spp (n = 1) and Candida albicans (n = 1). Five children (7%) had sequelae. Mongolian children with OI were younger compared to other cohorts. Conclusion. A standardized protocol for the management of OI in children was taken up well by the patients and treating staff leading to improved pathogen detection, facilitating antimicrobial stewardship in the future.
AbstractList	Introduction. Osteoarticular infections (OI) in children cause considerable morbidity with associated long-lasting sequelae. Comprehensive clinical and microbiological data in Mongolian children are missing. Objectives. To generate epidemiological, clinical and microbiological data on osteoarticular infections (OI) in Mongolian children after the introduction of a standardized management protocol. Methods. A prospective study was done between 2019 and 2022 at the only tertiary pediatric hospital in Mongolia. Results. Forty-two children presented with septic arthritis (SA), 6 with osteomyelitis (OM) and 23 with combined SA and OM. Newborns and young infants (≤3 months) comprised 38.%. A causative organism was identified in 38 children: Staphylococcus aureus (n = 31), Klebsiella spp (n = 3), Enterobacter spp (n = 2), Enterobacter spp + Klebsiella spp (n = 1) and Candida albicans (n = 1). Five children (7%) had sequelae. Mongolian children with OI were younger compared to other cohorts. Conclusion. A standardized protocol for the management of OI in children was taken up well by the patients and treating staff leading to improved pathogen detection, facilitating antimicrobial stewardship in the future. Introduction . Osteoarticular infections (OI) in children cause considerable morbidity with associated long-lasting sequelae. Comprehensive clinical and microbiological data in Mongolian children are missing. Objectives . To generate epidemiological, clinical and microbiological data on osteoarticular infections (OI) in Mongolian children after the introduction of a standardized management protocol. Methods . A prospective study was done between 2019 and 2022 at the only tertiary pediatric hospital in Mongolia. Results . Forty-two children presented with septic arthritis (SA), 6 with osteomyelitis (OM) and 23 with combined SA and OM. Newborns and young infants (≤3 months) comprised 38.%. A causative organism was identified in 38 children: Staphylococcus aureus (n = 31), Klebsiella spp (n = 3), Enterobacter spp (n = 2), Enterobacter spp + Klebsiella spp (n = 1) and Candida albicans (n = 1). Five children (7%) had sequelae. Mongolian children with OI were younger compared to other cohorts. Conclusion . A standardized protocol for the management of OI in children was taken up well by the patients and treating staff leading to improved pathogen detection, facilitating antimicrobial stewardship in the future. Introduction. Osteoarticular infections (OI) in children cause considerable morbidity with associated long-lasting sequelae. Comprehensive clinical and microbiological data in Mongolian children are missing. Objectives. To generate epidemiological, clinical and microbiological data on osteoarticular infections (OI) in Mongolian children after the introduction of a standardized management protocol. Methods. A prospective study was done between 2019 and 2022 at the only tertiary pediatric hospital in Mongolia. Results. Forty-two children presented with septic arthritis (SA), 6 with osteomyelitis (OM) and 23 with combined SA and OM. Newborns and young infants (≤3 months) comprised 38.%. A causative organism was identified in 38 children: Staphylococcus aureus (n = 31), Klebsiella spp (n = 3), Enterobacter spp (n = 2), Enterobacter spp + Klebsiella spp (n = 1) and Candida albicans (n = 1). Five children (7%) had sequelae. Mongolian children with OI were younger compared to other cohorts. Conclusion. A standardized protocol for the management of OI in children was taken up well by the patients and treating staff leading to improved pathogen detection, facilitating antimicrobial stewardship in the future.Introduction. Osteoarticular infections (OI) in children cause considerable morbidity with associated long-lasting sequelae. Comprehensive clinical and microbiological data in Mongolian children are missing. Objectives. To generate epidemiological, clinical and microbiological data on osteoarticular infections (OI) in Mongolian children after the introduction of a standardized management protocol. Methods. A prospective study was done between 2019 and 2022 at the only tertiary pediatric hospital in Mongolia. Results. Forty-two children presented with septic arthritis (SA), 6 with osteomyelitis (OM) and 23 with combined SA and OM. Newborns and young infants (≤3 months) comprised 38.%. A causative organism was identified in 38 children: Staphylococcus aureus (n = 31), Klebsiella spp (n = 3), Enterobacter spp (n = 2), Enterobacter spp + Klebsiella spp (n = 1) and Candida albicans (n = 1). Five children (7%) had sequelae. Mongolian children with OI were younger compared to other cohorts. Conclusion. A standardized protocol for the management of OI in children was taken up well by the patients and treating staff leading to improved pathogen detection, facilitating antimicrobial stewardship in the future.
Author	Sharav, Chimgee Ritz, Nicole Altankhuyag, Uuganbayar Essig, Stefan Bira, Sarantsetseg Buettcher, Michael Chuluunbaatar, Battulga Mikhlay, Zorigtbaatar Ulziibat, Munkhtulga Munkhuu, Bayalag
AuthorAffiliation	4 Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland 5 University of Basel, Basel, Switzerland 2 Paediatric Infectious Diseases, Children’s Hospital of Central Switzerland (KidZ), Lucerne, Switzerland 3 University Children’s Hospital Basel (UKBB), Basel, Switzerland 1 National Center for Maternal and Child Health, Ulaanbaatar, Mongolia
AuthorAffiliation_xml	– name: 1 National Center for Maternal and Child Health, Ulaanbaatar, Mongolia – name: 2 Paediatric Infectious Diseases, Children’s Hospital of Central Switzerland (KidZ), Lucerne, Switzerland – name: 5 University of Basel, Basel, Switzerland – name: 3 University Children’s Hospital Basel (UKBB), Basel, Switzerland – name: 4 Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
Author_xml	– sequence: 1 givenname: Munkhtulga surname: Ulziibat fullname: Ulziibat, Munkhtulga organization: National Center for Maternal and Child Health, Ulaanbaatar, Mongolia – sequence: 2 givenname: Michael orcidid: 0000-0001-6086-6162 surname: Buettcher fullname: Buettcher, Michael organization: Paediatric Infectious Diseases, Children’s Hospital of Central Switzerland (KidZ), Lucerne, Switzerland, University Children’s Hospital Basel (UKBB), Basel, Switzerland, Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland, University of Basel, Basel, Switzerland – sequence: 3 givenname: Uuganbayar surname: Altankhuyag fullname: Altankhuyag, Uuganbayar organization: National Center for Maternal and Child Health, Ulaanbaatar, Mongolia – sequence: 4 givenname: Battulga surname: Chuluunbaatar fullname: Chuluunbaatar, Battulga organization: National Center for Maternal and Child Health, Ulaanbaatar, Mongolia – sequence: 5 givenname: Zorigtbaatar surname: Mikhlay fullname: Mikhlay, Zorigtbaatar organization: National Center for Maternal and Child Health, Ulaanbaatar, Mongolia – sequence: 6 givenname: Chimgee surname: Sharav fullname: Sharav, Chimgee organization: National Center for Maternal and Child Health, Ulaanbaatar, Mongolia – sequence: 7 givenname: Sarantsetseg surname: Bira fullname: Bira, Sarantsetseg organization: National Center for Maternal and Child Health, Ulaanbaatar, Mongolia – sequence: 8 givenname: Stefan surname: Essig fullname: Essig, Stefan organization: Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland – sequence: 9 givenname: Nicole surname: Ritz fullname: Ritz, Nicole organization: Paediatric Infectious Diseases, Children’s Hospital of Central Switzerland (KidZ), Lucerne, Switzerland, University Children’s Hospital Basel (UKBB), Basel, Switzerland, Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland, University of Basel, Basel, Switzerland – sequence: 10 givenname: Bayalag surname: Munkhuu fullname: Munkhuu, Bayalag organization: National Center for Maternal and Child Health, Ulaanbaatar, Mongolia
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Snippet	Introduction. Osteoarticular infections (OI) in children cause considerable morbidity with associated long-lasting sequelae. Comprehensive clinical and... Introduction . Osteoarticular infections (OI) in children cause considerable morbidity with associated long-lasting sequelae. Comprehensive clinical and... Introduction . Osteoarticular infections (OI) in children cause considerable morbidity with associated long-lasting sequelae. Comprehensive clinical and...
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Title	Microbiological Spectrum of Osteoarticular Infections and Their Management in Mongolian Children
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