Trauma Induced Chronic Osteomyelitis: Specimens from Sinus Tract or Bone?

  • Morteza Izadi Health Research Center (HRC), Baqiyatallah University of Medical Sciences, Tehran
  • Seyed Emad Sadat Health Research Center (HRC), Baqiyatallah University of Medical Sciences, Tehran
  • Mohammad Mahdi Zamani Department of Anesthesiology, Tehran University of Medical Sciences, Tehran
  • Seyed Ahmad Mousavi Subspeciality Clinic of Osteomyelitis, Sasan Hospital, Tehran
  • Nematollah Jonaidi Jafari Health Research Center (HRC), Baqiyatallah University of Medical Sciences, Tehran
  • Mojgan Majidi Fard Applied Microbiology Research Center, Baqiyatallah University Medical of Sciences, Tehran
  • Mehrnoosh Etemadi Students’ Scientific Research Center, School of Medicine, Tehran University of Medical Sciences, Tehran
  • Abbas Ali Imani Fooladi Applied Microbiology Research Center, Baqiyatallah University Medical of Sciences, Tehran
  • Hamed Talakoob Health Research Center (HRC), Baqiyatallah University of Medical Sciences, Tehran
Keywords: Bone diseases, Diagnosis, Infectious diseases, Osteomyelitis, Trauma

Abstract

Background: The choice of an accurate microorganism isolation from chronic osteomyelitis has been a big conflict between clinicians during the time. The aim of this study is to compare specimens from sinus tract and bone, for an accurate treatment of trauma induced chronic osteomyelitis (CO).Patients and Methods: A total of 139 patients with trauma induced CO, were entered to the study. The specimens were taken from both sinus tract and bone. All specimens were cultured by Karby Bauer method. finally isolated microorganisms from sinus tract and bone specimens, were compared. Results:The overall concordance between sinus tract and bone cultures was 46%. There was 17% false negative results in sinus tract specimens, but only 5.6% of the bone specimens had false negative results. In all cases, which the microorganisms were found in the sinus tract, they were isolated from the bone also.Conclusion: This study suggests that bone specimens are more reliable in diagnosis of trauma induced CO. Culture result of sinus tract specimen is reliable, except for Staphylococcus epidermidis, Proteus, and Candida albicans; In other conditions antibiotic therapy can be started based on sinus tract culture, until the bone culture becomes ready.

Author Biography

Mohammad Mahdi Zamani, Department of Anesthesiology, Tehran University of Medical Sciences, Tehran
Resident of Anesthesiology, Department of Anesthesiology, Firoozgar Hospital, Tehran University of Medical Sciences

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Published
2013-12-02
How to Cite
Izadi, M., Sadat, S. E., Zamani, M. M., Mousavi, S. A., Jonaidi Jafari, N., Majidi Fard, M., Etemadi, M., Imani Fooladi, A. A., & Talakoob, H. (2013). Trauma Induced Chronic Osteomyelitis: Specimens from Sinus Tract or Bone?. Galen Medical Journal, 2(4), 146-151. https://doi.org/10.31661/gmj.v2i4.115
Section
Original Article