Diagnosis and Management of Pediatric Osteomyelitis with Dr. Samir Shah
In this episode of Curbside Consults, we examine the latest guidelines on the diagnosis and management of pediatric osteomyelitis by the Infectious Diseases Society of America (IDSA) and Pediatric Infectious Diseases Society (PIDS). We are joined by Dr. Samir Shah, a Professor of Pediatrics at Cincinnati Children’s Hospital, Editor-in-Chief of Journal of Hospital Medicine, and one of the guideline authors.
00:05 – Intro 00:40 – Guideline process 02:45 – Pathophysiology of pediatric osteomyelitis 05:15 – Laboratory evaluation of osteomyelitis 10:20 – Imaging for osteomyelitis 14:18 – Treatment: when to initiate antibiotics 16:18 – Treatment: choice of antibiotic 19:20 – Treatment: switching to an oral regimen 24:26 – Treatment: antibiotic duration 26:44 – Complications of osteomyelitis 27:48 – Concluding remarks and special scenarios
The Curbside Consults series complements the foundational information in Rotation Prep by taking a deep dive into key clinical topics with expert clinicians and educators. These podcasts explore and critique the evidence behind clinical practice and break down statistical concepts for the busy clinical trainee.
Samir Shah, MD, is Professor of Pediatrics at Cincinnati Children’s Hospital and Editor-in-Chief of Journal of Hospital Medicine.
Clement Lee, MD, MSc, is a 2021–2022 NEJM Editorial Fellow. He is currently an internal medicine hospitalist at Beth Israel Deaconess Medical Center and a pediatric hospitalist at Lowell General Hospital. He completed his internal medicine-pediatrics residency at Penn-CHOP.