Introduction. Osteoarticular infections (OI) in children cause considerable morbidity with associated long-lasting sequelae. Comprehensive clinical and microbiological data in Mongolian children are missing. Objectives. To generate epidemiological, clinical and microbiological data on osteoarticular infections (OI) in Mongolian children after the introduction of a standardized management protocol. Methods. A prospective study was done between 2019 and 2022 at the only tertiary pediatric hospital in Mongolia. Results. Forty-two children presented with septic arthritis (SA), 6 with osteomyelitis (OM) and 23 with combined SA and OM. Newborns and young infants (≤3 months) comprised 38.%. A causative organism was identified in 38 children: Staphylococcus aureus (n = 31), Klebsiella spp (n = 3), Enterobacter spp (n = 2), Enterobacter spp + Klebsiella spp (n = 1) and Candida albicans (n = 1). Five children (7%) had sequelae. Mongolian children with OI were younger compared to other cohorts. Conclusion. A standardized protocol for the management of OI in children was taken up well by the patients and treating staff leading to improved pathogen detection, facilitating antimicrobial stewardship in the future.

Munkhtulga Ulziibat

Michael Buettcher

Uuganbayar Altankhuyag

Battulga Chuluunbaatar

Zorigtbaatar Mikhlay

Chimgee Sharav

Sarantsetseg Bira

Stefan Essig

Nicole Ritz

Bayalag Munkhuu

Global Pediatric Health

Microbiological Spectrum of Osteoarticular Infections and Their Management in Mongolian Children

蒙古儿童骨关节感染的微生物谱及其管理

Microbiological Spectrum of Osteoarticular Infections and Their Management in Mongolian Children

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Journal Info

Category	Quartile
PEDIATRICS	3