Evidence map›Paper›PMID 34454557›Full record

SynthesisItalian journal of pediatrics2021

Italian consensus on the therapeutic management of uncomplicated acute hematogenous osteomyelitis in children.

Andrzej Krzysztofiak, Elena Chiappini, Elisabetta Venturini, Livia Gargiullo, Marco Roversi, Carlotta Montagnani, Elena Bozzola, Sara Chiurchiu, Davide Vecchio, Elio Castagnola and 34 more

Abstract readSystematic ReviewConsensus Statement
In one paragraph

Synthesis in Italian journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Appropriate Antibiotic Duration in Pediatric Bone and Joint Infection: A Systematic Review.Journal of the Pediatric Orthopaedic Society of North America · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Surveillance of osteoarticular infections caused byFrontiers in cellular and infection microbiology · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

44 authors.

Andrzej KrzysztofiakPaediatric and Infectious Disease Unit, Academic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy. andrzej.krzysztofiak@opbg.net.ORCID http://orcid.org/0000-0002-9615-3671
Elena ChiappiniPaediatric Infectious Disease Unit, Anna Meyer Children's University Hospital, Florence, Italy.
Elisabetta VenturiniPaediatric Infectious Disease Unit, Anna Meyer Children's University Hospital, Florence, Italy.
Livia GargiulloDepartment of Emergency, Acceptance and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Marco RoversiPaediatric and Infectious Disease Unit, Academic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Carlotta MontagnaniPaediatric Infectious Disease Unit, Anna Meyer Children's University Hospital, Florence, Italy.
Elena BozzolaDepartment of Emergency, Acceptance and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Sara ChiurchiuPaediatric and Infectious Disease Unit, Academic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Davide VecchioRare Disease and Medical Genetics, Academic Department of Pediatrics, Bambino Gesù Children's Hospital, Rome, Italy.
Elio CastagnolaInfectious Disease Unit, IRCCS Istituto Giannina Gaslini, Genova, Italy.
Paolo TomàDepartment of Imaging, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Gian Maria RossoliniDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Renato Maria TonioloSurgery Department, Traumatology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Susanna EspositoPediatric Clinic, Pietro Barilla Children's Hospital, University of Parma, Parma, Italy.
Marco CirilloDepartment of Imaging, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Fabio CardinaleDepartment of Pediatrics and Emergency, Pediatric Allergy and Pulmunology Unit, Azienda Ospedaliera-Universitaria "Consorziale-Policlinico", Ospedale Pediatrico Giovanni XXIII, Bari, Italy.
Andrea NovelliDepartment of Health Sciences, Section of Clinical Pharmacology and Oncology, University of Florence, Florence, Italy.
Giovanni BeltramiDepartment of Orthopaedic Oncology and Reconstructive Surgery, AOU Careggi, Florence, Italy.
Claudia TagliabuePediatric Highly Intensive Care Unit, Fondazione Ca' Granda Ospedale Maggiore Policlinico, IRCCS, Milan, Italy.
Silvio BoeroDepartment of Pediatric Orthopaedics, IRCCS Istituto 'Giannina Gaslini', Children's Hospital, Genova, Italy.
Daniele DeriuPaediatric and Infectious Disease Unit, Academic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Sonia BianchiniDepartment of Pediatrics, ASST Santi Paolo e Carlo Hospital, Milan, Italy.
Annalisa GrandinDepartment of Emergency, Acceptance and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Samantha BosisPediatric Highly Intensive Care Unit, Fondazione Ca' Granda Ospedale Maggiore Policlinico, IRCCS, Milan, Italy.
Martina CiarciàPaediatric Infectious Disease Unit, Anna Meyer Children's University Hospital, Florence, Italy.
Daniele CiofiPaediatric Infectious Disease Unit, Anna Meyer Children's University Hospital, Florence, Italy.
Chiara TersigniPaediatric Infectious Disease Unit, Anna Meyer Children's University Hospital, Florence, Italy.
Barbara BortonePaediatric Infectious Disease Unit, Anna Meyer Children's University Hospital, Florence, Italy.
Giulia TrippellaPaediatric Infectious Disease Unit, Anna Meyer Children's University Hospital, Florence, Italy.
Giangiacomo NicoliniPediatric Unit, San Martino Hospital, Belluno, Italy.
Andrea Lo VecchioSection of Paediatrics, Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Antonietta GiannattasioPediatric Emergecy Department, AORN Santobono-Pausilipon, Naples, Italy.
Paola MussoPaediatric Infectious Disease Unit, Anna Meyer Children's University Hospital, Florence, Italy.
Elena SerranoPaediatric Infectious Disease Unit, Anna Meyer Children's University Hospital, Florence, Italy.
Paola MarchisioPediatric Highly Intensive Care Unit, Fondazione Ca' Granda Ospedale Maggiore Policlinico, IRCCS, Milan, Italy.
Daniele DonàDivision of Pediatric Infectious Diseases, Department for Woman and Child Health, University of Padua, Padua, Italy.
Silvia GarazzinoPediatric Infectious Disease Unit, Regina Margherita Children's Hospital, University of Turin, Turin, Italy.
Luca PierantoniPediatric Emergency Unit, Policlinico di Sant'Orsola, Bologna, Italy.
Teresa Mazzone, Rome, Italy.
Paola BernaschiMicrobiology Unit, Children's Hospital Bambino Gesù, IRCCS, Rome, Italy.
Alessandra FerrariPediatric Unit, Cremona, Italy.
Guido Castelli GattinaraChild and Adolescent Health Institute, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Luisa GalliPaediatric Infectious Disease Unit, Anna Meyer Children's University Hospital, Florence, Italy.
Alberto VillaniDepartment of Emergency, Acceptance and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute hematogenous osteomyelitis (AHOM) is an insidious infection of the bone that more frequently affects young males. The etiology, mainly bacterial, is often related to the patient's age, but it is frequently missed, owing to the low sensitivity of microbiological cultures. Thus, the evaluation of inflammatory biomarkers and imaging usually guide the diagnosis and follow-up of the infection. The antibiotic treatment of uncomplicated AHOM, on the other hand, heavily relies upon the clinician experience, given the current lack of national guidelines for the management of this infection.

methodsA systematic review of the studies on the empirical treatment of uncomplicated AHOM in children published in English or Italian between January 1, 2009, and March 31, 2020, indexed on Pubmed or Embase search engines, was carried out. All guidelines and studies reporting on non-bacterial or complicated or post-traumatic osteomyelitis affecting newborns or children older than 18 years or with comorbidities were excluded from the review. All other works were included in this study.

resultsOut of 4576 articles, 53 were included in the study. Data on different topics was gathered and outlined: bone penetration of antibiotics; choice of intravenous antibiotic therapy according to the isolated or suspected pathogen; choice of oral antibiotic therapy; length of treatment and switch to oral therapy; surgical treatment.

conclusionsThe therapeutic management of osteomyelitis is still object of controversy. This study reports the first Italian consensus on the management of uncomplicated AHOM in children of pediatric osteomyelitis, based on expert opinions and a vast literature review.

Indexed as

Anti-Bacterial AgentsChildDrainageDrug Administration ScheduleHumansOsteomyelitisPediatricsPractice Guidelines as TopicAnti-Bacterial AgentsAntibiotic therapyBone infectionsChildrenPaediatric infectious diseasesPaediatric osteomyelitisPaediatrics

Identifiers

PMID34454557
PMCPMC8403408

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.