ETIOPATHOGENETIC FACTORS OF ACUTE HEMATOGENIC EPIPHYSICAL OSTEOMYELITIS IN YOUNG CHILDREN.

Abstract

Acute hematogenous epiphyseal osteomyelitis (AHEO) is often
accompanied by disability. The modern problem of acute hematogenous
osteomyelitis (AHO) in children is associated with the high incidence rate of the
pediatric population and the severity of this purulent-septic pathology in
childhood. 'liq. The continuing difficulties of early diagnosis are unsatisfactory
results of treatment with frequent chronic purulent process. Despite the successes
achieved in the treatment of AHO in children, the mortality rate in severe forms of
the disease is from 0.2% to 3.7%, the transition to a chronic state is from 5.2% to
13.0%. After epiphyseal osteomyelitis, 23-58.3% of patients experience orthopedic
complications. This disease is closely related to social and economic factors, so
the pathomorphism of the disease has been clearly seen in the last decade. At the
current stage, the organization of medical care for patients with this serious
disease remains perfect. Late hospitalization of patients was noted in 77.0-86.2%
of cases. The level of timely diagnosis before the hospital remains low, and there is
a misunderstanding of the relevance of emergency care for this pathology. During
the initial examination of the patient, diagnostic errors are observed in 25.1-58.3%
of cases.