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Archives de pédiatrie
Volume 18, n° 9
pages 1016-1018 (septembre 2011)
Doi : 10.1016/j.arcped.2011.05.015
Antibiothérapie des infections ostéo-articulaires de l’enfant : ce qui a changé
Antibiotic therapy of bone and joint infections in children: Recent changes
 

M. Lorrot a, , f, g, h , C. Doit b, f, h, B. Ilharreborde c, f, h, C. Vitoux c, f, h, L. Le Henaff d, f, h, G. Sebag d, f, h, G. Pennecot c, f, h, E. Grimprel e, f, h, i, É. Bingen b, f, g, h
a Service de pédiatrie générale, hôpital Robert-Debré, 48, boulevard Sérurier, 75019 Paris, France 
b Service de microbiologie, hôpital Robert-Debré, 48, boulevard Sérurier, 75019 Paris, France 
c Service de chirurgie orthopédique, hôpital Robert-Debré, 48, boulevard Sérurier, 75019 Paris, France 
d Service de radiologie, hôpital Robert-Debré, 48, boulevard Sérurier, 75019 Paris, France 
e Service de pédiatrie générale, hôpital Armand-Trousseau, 26, rue du Dr-Arnold-Netter, 75012 Paris, France 
f Groupe de concertation multidisciplinaire « Infections osseuses », hôpital Robert-Debré, 48, boulevard Sérurier, 75019 Paris, France 
g Groupe de pathologie infectieuse pédiatrique (GPIP), France 
h Faculté de médecine, Denis-Diderot (Paris VII), France 
i Faculté de médecine, Paris VI, France 

Auteur correspondant.
Résumé

Le traitement des infections ostéo-articulaires de l’enfant comprend une antibiothérapie précoce ciblant Staphylococcus aureus et Kingella kingae associée au drainage chirurgical des collections purulentes associées (arthrite, abcès sous-périosté). En 2007, le Groupe de pathologie infectieuse pédiatrique de la Société française de pédiatrie a proposé, dans les cas aigus d’évolution favorable, d’effectuer une antibiothérapie intraveineuse initiale à quatre à sept jours relayée par une antibiothérapie orale pendant trois semaines.

The full text of this article is available in PDF format.
Abstract

Management of bone and joint infections in children associates early appropriate antibiotic therapy against Staphylococcus aureus and Kingella kingae and, if necessary, surgical drainage of abscess or septic arthritis. In 2007, the Paediatric Infectious Diseases Group of the French Society of Paediatrics (GPIP) proposed guidelines for antibiotherapy in acute and non-complicated cases, with an intravenous therapy during 4 to 7days followed by oral therapy during 3weeks.

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