Managing bone and joint infection in children

ABSTRACT
There is little high quality evidence on which to base the management of bone and joint infections in children. This pragmatic practice note aims to provide a consensus framework of best current practice prior to the availability of data from large national randomised controlled trials. For straightforward infection in previously normal children, recent trends suggest that shorter length of intravenous therapy with switch to oral treatment is acceptable, although this is not the case for the management of complex infections including those with multifocal disease, signifi cant bone destruction, resistant or unusual pathogens, sepsis or in  immunosuppressed children. Flowsheets for management based on the evidence reviewed are presented.


Arch Dis Child 2012;97:545–553.

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The Management of Community-Acquired Pneumonia in Infants and Children Older Than 3 Months of Age: Clinical Practice Guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America

Evidenced-based guidelines for management of infants and children with community-acquired pneumonia
(CAP) were prepared by an expert panel comprising clinicians and investigators representing community
pediatrics, public health, and the pediatric specialties of critical care, emergency medicine, hospital medicine,
infectious diseases, pulmonology, and surgery. These guidelines are intended for use by primary care and
subspecialty providers responsible for the management of otherwise healthy infants and children with CAP in
both outpatient and inpatient settings. Site-of-care management, diagnosis, antimicrobial and adjunctive
surgical therapy, and prevention are discussed. Areas that warrant future investigations are also highlighted.

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Clinical Infectious Diseases 2011