Document Detail


Healthcare associated discitis in the era of antimicrobial resistance.
MedLine Citation:
PMID:  18766125     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Discitis is a recognized and serious complication of healthcare. We describe the cases of 4 patients, who presented to our unit over a 1 year period. All had exposure to healthcare before the onset of discitis and developed complex infections. There were no additional risk factors for discitis in any of the cases. The risk factors for discitis were peripheral intravenous cannulation in 1 case, intraabdominal surgery in 2 cases and multiple risks including intensive care admission and urethral catheterization in another case. The described cases demonstrate the importance of ascertaining a definitive microbiological diagnosis in healthcare associated discitis and the complex and expensive antibiotic regimens that may be required for the management of such cases. Clinicians should be aware when seeing patients with back pain and recent health care exposure that discitis can be present and complicated and that resistant organisms can be the cause.
Authors:
Patrick Lillie; Hiten Thaker; Peter Moss; Joy Baruah; Lorraine Cullen; Damien Taylor; Gavin Barlow
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases     Volume:  14     ISSN:  1536-7355     ISO Abbreviation:  J Clin Rheumatol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-09-03     Completed Date:  2009-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9518034     Medline TA:  J Clin Rheumatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  234-7     Citation Subset:  IM    
Affiliation:
Department of Infection & Tropical Medicine, Castle Hill Hospital, Cottingham, Hull, East Yorkshire HU165JQ, UK. patricklillie@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
Aged
Back Pain / etiology*
Catheterization / adverse effects
Cross Infection / drug therapy*,  etiology*
Discitis / diagnosis*,  drug therapy,  etiology*
Drug Resistance, Bacterial
Female
Humans
Male
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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