1/25/2024 0 Comments Hospital santa matilde madrid![]() ![]() El objetivo del estudio ha sido valorar el grado de adecuación a las recomendaciones establecidas en el consenso durante un año de seguimiento. En 2015 se constituyó RIOPed como red nacional multidisciplinar para la investigación en IOA. A decrease in hospital stay was achieved.Įn 2014 se publicó el Documento de Consenso desarrollado por SEIP-SERPE-SEOP para el diagnóstico y el tratamiento de las infecciones osteoarticulares (IOA). In general, the level of adaptation to the recommendations that were set by the Expert Group, is good for the complementary tests, and acceptable as regards the choice of antibiotic treatment, although inadequate in almost 40% of cases. Only 58.5% of cases followed the recommendations on the duration of the treatment however, a lower duration of intravenous treatment was observed. Surgery was performed in 36.8% of SA cases (85.7% arthrotomy), with a significant decrease compared to the retrospective study ( P =. The choice of intravenous empirical antibiotic treatment was adapted to the recommendations in 65.1% of cases, and in 62.3% for the oral treatment. A magnetic resonance (MR) was performed on 71% of the OM cases. As regards the complementary tests that the Consensus considered mandatory to perform, radiography was carried out on 87.8% of the cases, a blood culture on 91.6%, and culture of the synovial fluid in 99% of SA. ResultsĪ total of 235 cases were included, of which 131 were OM, 79 SA, 30 OA, and 15 SD. The results were compared with those obtained in a retrospective study conducted between 20. The study included patients >16 years-old with a diagnosis of OAI, confirmed by microbiological isolation, or probable: septic arthritis (SA) with >40,000 white cells in synovial fluid, or osteomyelitis (OM)/spondylodiscitis (SD) with a compatible imaging test. Material and methodsĪ prospective, national multicentre study was carried out in 37 hospitals between September 2015 and September 2016. The aim of this study was to assess the level of adaption to the recommendations established in the Consensus during one year of follow-up. ![]() In 2015 the RIOPed was considered as a multidisciplinary national network for the investigation into OAI. I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.In 2014 the Consensus Document produced by the Spanish Paediatric Societies (SEIP-SERPE-SEOP) was published to help in the diagnosis and treatment of osteoarticular infections (OAI). I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as. I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals. The Ethics Committee of the Hospital Universitario Príncipe de Asturias, considered issuing a favorable opinion for the study to be carried out. The details of the IRB/oversight body that provided approval or exemption for the research described are given below: I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. The author(s) received no specific funding for this work. The authors have declared no competing interest. No parameters supporting increased toxicity in patients with higher hepatic iron deposition were observed therefore, more proactive treatment with intravenous iron to improve anemia management may not necessarily induce deleterious effects in hemodialysis patients. Conclusions Patients with longer hemodialysis times had higher iron stores, suggesting that iron treatment over time increases hepatic iron deposition. ![]()
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