This article focuses on the advancements made in diagnostic techniques and drug interventions of acute hematogenous osteomyelitis. A diagnosis necessitates a combination of factors, including inflammatory markers and imaging findings, as well as the collection of specimens for culture when feasible. Subsequently, treatment should be based on epidemiology, mechanisms of resistance, and susceptibility findings. A brief course of intravenous (IV) antibiotics, followed by oral antibiotics, may be employed for uncomplicated infections if there is improvement in the clinical condition and a decline in C-reactive protein levels. However, for complex infections caused by methicillin-resistant Staphylococcus aureus, prolonged administration of IV antibiotics is recommended, along with surgical intervention if necessary. [Pediatr Ann. 2024;53(10):e392-e395.].

中文翻译：

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儿科患者的急性血行骨髓炎。


本文重点介绍急性血源性骨髓炎诊断技术和药物干预的进展。诊断需要综合多种因素，包括炎症标志物和影像学检查结果，并在可行的情况下收集标本进行培养。随后，应根据流行病学、耐药机制和药敏试验结果进行治疗。如果临床状况改善和 C 反应蛋白水平下降，则可采用短期静脉注射 （IV） 抗生素，然后口服抗生素用于无并发症的感染。然而，对于耐甲氧西林金黄色葡萄球菌引起的复杂感染，建议延长静脉抗生素给药时间，必要时进行手术干预。[儿科年鉴 2024;53（10）：e392-e395.]。