Osteomyelitis within the SUS: analysis of the epidemiological profile, cost of hospitalization, average length of stay and mortality in the last 5 years
DOI:
https://doi.org/10.33448/rsd-v12i1.39291Keywords:
Osteomyelitis; Public health; Epidemiology.Abstract
Osteomyelitis is an infectious and inflammatory bone process caused by pathogenic microorganisms, among which Staphulococcus aureus stands out. Given this context, the objective of this study is to analyze the epidemiological profile, the average cost and mortality of osteomyelitis in Brazil over the last 5 years. This is an epidemiological, retrospective and quantitative study carried out using secondary data. In the analyzed period, 71,866 hospitalizations for osteomyelitis were recorded in Brazil. With regard to geographic regions, the largest number of hospitalizations is concentrated in the Southeast region. Regarding age group, patients between 50 and 59 years old were the most affected. Regarding biological gender, males predominated, totaling 51,176 admissions. Among the Brazilian macro-regions, the southern region had the highest average cost of hospitalization for osteomyelitis. The average hospital stay for osteomyelitis, in the period studied, was around 8.4 days in Brazil. And, finally, the mortality rate remained between 1.30, with the year 2020 having the highest mortality rate with 1.63. This research demonstrates that osteomyelitis is a public health problem, subject to early diagnosis and preventive care.
References
Arruda, L. R. P., et al. (2009). Fraturas expostas: estudo epidemiológico e prospectivo. Acta Ortopédica Brasileira, 17, 326–330. https://doi.org/10.1590/S1413-78522009000600002
Brasil. (2020). Ministério da Saúde. Portaria MS/GM n. 356, de 11 de março de 2020. Dispõe sobre a regulamentação e operacionalização do disposto na Lei nº 13.979, de 6 de fevereiro de 2020, que estabelece as medidas para enfrentamento da emergência de saúde pública de importância internacional decorrente do coronavírus (COVID-19) [Internet]. Diário Oficial da União, Brasília (DF); Seção 1:185. http://www.in.gov.br/web/dou/-/portaria-n-356-de-11-de-marco-de-2020-247538346
Castellazzi, L., Mantero, M., & Esposito, S. (2016). Update on the Management of Pediatric Acute Osteomyelitis and Septic Arthritis. International Journal of Molecular Sciences, 17(6), 855. https://doi.org/10.3390/ijms17060855
Cunha, B. A. (2002). Osteomyelitis in Elderly Patients. Clinical Infectious Diseases, 35(3), 287–293. https://doi.org/10.1086/341417
Ezra, E., et al. (1992). Primary Subacute Osteomyelitis of the Axial and Appendicular Skeleton. Journal of Pediatric Orthopaedics B, 1(2), 148–152. https://doi.org/10.1097/01202412-199201020-00013
Fonseca, M. de A., et al. (2014). Fraturas em membros inferiores por causas externas: significado para indivíduos hospitalizados. Revista InterScientia, 2(3). https://periodicos.unipe.br/index.php/interscientia/article/view/77/74
Hamdy, R. C., Lawton, L., Carey, T., Wiley, J., & Marton, D. (1996). Subacute Hematogenous Osteomyelitis: Are Biopsy and Surgery Always Indicated? Journal of Pediatric Orthopaedics, 220–223. https://doi.org/10.1097/00004694-199603000-00017
Huang, C.-C., et al. (2016). Chronic osteomyelitis increases long-term mortality risk in the elderly: a nationwide population-based cohort study. BMC Geriatrics, 16. https://doi.org/10.1186/s12877-016-0248-8
Ilharreborde, B. (2015). Sequelae of pediatric osteoarticular infection. Orthopaedics & Traumatology: Surgery & Research, 101(1), S129–S137. https://doi.org/10.1016/j.otsr.2014.07.029
Iliadis, A. D., & Ramachandran, M. (2017). Paediatric bone and joint infection. EFORT Open Reviews, 2(1), 7–12. https://doi.org/10.1302/2058-5241.2.160027
Kremers, H. M., et al. (2015). Trends in the epidemiology of osteomyelitis: a population-based study, 1969 to 2009. The Journal of Bone and Joint Surgery. American Volume, 97(10), 837–845. https://doi.org/10.2106/JBJS.N.01350
Kroon, E., Arents, N. A., & Halbertsma, F. J. (2012). Septic arthritis and osteomyelitis in a 10-year-old boy, caused by Fusobacterium nucleatum, diagnosed with PCR/16S ribosomal bacterial DNA amplification. Case Reports, 2012(may11 1), bcr1220115335–bcr1220115335. https://doi.org/10.1136/bcr.12.2011.5335
Moore, T. J., Mauney, C., & Harron, J. (1989). The Use of Quantitative Bacterial Counts in Open Fractures. Clinical Orthopaedics and Related Research, &NA;(248), 227???230. https://doi.org/10.1097/00003086-198911000-00036
Müller, S. S., et al. (2003). Estudo epidemiológico, clínico e microbiológico prospectivo de pacientes portadores de fraturas expostas atendidos em hospital universitário. Acta Ortopédica Brasileira, 11(3), 158–169. https://doi.org/10.1590/s1413-78522003000300004
Panteli, M., & Giannoudis, P. V. (2016). Chronic osteomyelitis: what the surgeon needs to know. EFORT Open Reviews, 1(5), 128–135. https://doi.org/10.1302/2058-5241.1.000017
Peltola, H., & Pääkkönen, M. (2014). Acute Osteomyelitis in Children. New England Journal of Medicine, 370(4), 352–360. https://doi.org/10.1056/nejmra1213956
Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM.
Sia, I. G., & Berbari, E. F. (2006). Osteomyelitis. Best Practice & Research Clinical Rheumatology, 20(6), 1065–1081. https://doi.org/10.1016/j.berh.2006.08.014
Tosounidis, T. H., Calori, G. M., & Giannoudis, P. V. (2016). The use of Reamer–irrigator–aspirator in the management of long bone osteomyelitis: an update. European Journal of Trauma and Emergency Surgery, 42(4), 417–423. https://doi.org/10.1007/s00068-016-0700-7
Villa, P. E. A., et al. (2013). Avaliação clínica de pacientes com osteomielite crônica após fraturas expostas tratados no Hospital de Urgências de Goiânia, Goiás. Revista Brasileira de Ortopedia, 48(1), 22–28. https://doi.org/10.1016/j.rbo.2012.03.004
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Marina Gabriela Magalhães Barbosa Murta; Laura Gomes Martucci; Luis Ferreira Gomes Neto; Paulo Bruno Ruinho; Stephanie de Souza Candido; Paulo Roberto Silva dos Santos; João Pedro da Fonseca Sarmento; Sâmara Cristina Santos; Evelin Leonara Dias da Silva; Tássia Soares Pacheco
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.