Diagnosis and Management of Acute Hematogenous Osteomyelitis in Pediatrics

Publication Date: August 5, 2021
Last Updated: September 2, 2022

Diagnosis

Laboratory Tests

In children with suspected AHO, we recommend performing blood culture prior to the administration of antimicrobial therapy. ( S , M)
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Treatment

Empiric Antimicrobial Therapy

In children with presumed AHO who are ill-appearing or have rapidly progressive infection, we recommend starting empiric antimicrobial therapy immediately rather than withholding antibiotics until invasive diagnostic procedures are performed. ( S , M)
  • Comment: The yield of positive cultures from specimens collected by invasive diagnostic procedures (bone biopsy and aspirate), when obtained within 24 to 48 hours after initiation of antibiotic therapy, is similar to the yield when these cultures are obtained prior to the administration of antibiotics.
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Overview

Title

Diagnosis and Management of Acute Hematogenous Osteomyelitis in Pediatrics

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