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Published in: International Orthopaedics 1/2005

01-02-2005 | Original Paper

Osteomyelitis in Polynesian children

Authors: Melissa Rossaak, Rocco P. Pitto

Published in: International Orthopaedics | Issue 1/2005

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Abstract

Polynesians, including New Zealand Maori, are known to be prone to bacterial infections. We studied 85 New Zealand children with osteomyelitis requiring admission in a tertiary care hospital in a 2-year period in order to attain information regarding incidence and relative risk. During the observation period, the hospital was responsible for the healthcare of a total population of 103,900 children per annum. An increased relative risk of Polynesian and Maori children to suffer from osteomyelitis was calculated to be 3.84. The major pathogenic organism was Staphylococcus aureus. Complications such as extension to adjacent joints or sepsis were a rather rare occurrence. Further research is required to identify whether genetic predisposition or social and environmental circumstances are involved in this phenomenon.
Literature
1.
go back to reference Abbott W, Scragg R, Marbrook J (1999) Differences in disease frequency between Europeans and Polynesians: directions for future research into genetic risk factors. N Z Med J 112:243–245PubMed Abbott W, Scragg R, Marbrook J (1999) Differences in disease frequency between Europeans and Polynesians: directions for future research into genetic risk factors. N Z Med J 112:243–245PubMed
2.
go back to reference Armstrong-Esther CA (1976) Carriage patterns of Staphylococcus aureus in a healthy non-hospital population of adults and children. Ann Hum Biol 3:221–227PubMed Armstrong-Esther CA (1976) Carriage patterns of Staphylococcus aureus in a healthy non-hospital population of adults and children. Ann Hum Biol 3:221–227PubMed
3.
go back to reference Blyth MJ, Kincaid R, Cragen MA, Bennet GC (2001) The changing epidemiology of acute and subacute haematogenous osteomyelitis in children. J Bone Joint Surg Br 83:99–102CrossRefPubMed Blyth MJ, Kincaid R, Cragen MA, Bennet GC (2001) The changing epidemiology of acute and subacute haematogenous osteomyelitis in children. J Bone Joint Surg Br 83:99–102CrossRefPubMed
4.
go back to reference Finger F, Rossaak M, Umstaetter R, Reulbach U, Pitto RP (2004) Skin infections of the limbs of Polynesian children. N Z Med J 117(1192):U847PubMed Finger F, Rossaak M, Umstaetter R, Reulbach U, Pitto RP (2004) Skin infections of the limbs of Polynesian children. N Z Med J 117(1192):U847PubMed
5.
go back to reference Fisher AM, Trever RW, Curtin JA (1958) Staphylococcal pneumonia as observed in twenty-one adults. Trans Am Clin Climatol Assoc 69:29–35 Fisher AM, Trever RW, Curtin JA (1958) Staphylococcal pneumonia as observed in twenty-one adults. Trans Am Clin Climatol Assoc 69:29–35
6.
go back to reference Gillespie WJ (1979) Racial and environmental factors in acute haematogenous osteomyelitis in New Zealand. N Z Med J 90(641):93–95PubMed Gillespie WJ (1979) Racial and environmental factors in acute haematogenous osteomyelitis in New Zealand. N Z Med J 90(641):93–95PubMed
7.
go back to reference Gillespie WJ (1985) The epidemiology of acute haematogenous osteomyelitis of childhood. Int J Epidemiol 14:600–606PubMed Gillespie WJ (1985) The epidemiology of acute haematogenous osteomyelitis of childhood. Int J Epidemiol 14:600–606PubMed
8.
go back to reference Hill PC, Wong CGS, Lang SDR (1999) Bone and Joint infection at a tertiary-care hospital: review of one hundred seventy-eight cases. Infect Dis Clin Pract 8:368–373 Hill PC, Wong CGS, Lang SDR (1999) Bone and Joint infection at a tertiary-care hospital: review of one hundred seventy-eight cases. Infect Dis Clin Pract 8:368–373
9.
go back to reference Hill PC, Wong CG, Voss LM, Taylor SL, Pottumarthy S, Drinkovic D, Morris AJ (2001) Prospective study of 125 cases of Staphylococcus aureus bacteraemia in children in New Zealand. Pediatr Infect Dis J 20:868–873CrossRefPubMed Hill PC, Wong CG, Voss LM, Taylor SL, Pottumarthy S, Drinkovic D, Morris AJ (2001) Prospective study of 125 cases of Staphylococcus aureus bacteraemia in children in New Zealand. Pediatr Infect Dis J 20:868–873CrossRefPubMed
11.
go back to reference Lines DR (1977) An Auckland high school health survey. Aust N Z J Med 7:143–147PubMed Lines DR (1977) An Auckland high school health survey. Aust N Z J Med 7:143–147PubMed
12.
go back to reference Robb D (1960) Maori and European: differential incidence of surgical and other diseases. N Z Med J 59:271–279PubMed Robb D (1960) Maori and European: differential incidence of surgical and other diseases. N Z Med J 59:271–279PubMed
13.
go back to reference Robertson DE (1938) Acute haematogenous osteomyelitis. J Bone Joint Surg 20:35–47 Robertson DE (1938) Acute haematogenous osteomyelitis. J Bone Joint Surg 20:35–47
14.
go back to reference Tonkin S (1971) Maori infant health. N Z Med J 73(466):171 Tonkin S (1971) Maori infant health. N Z Med J 73(466):171
Metadata
Title
Osteomyelitis in Polynesian children
Authors
Melissa Rossaak
Rocco P. Pitto
Publication date
01-02-2005
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 1/2005
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-004-0597-3

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