Curbside Consults Podcast

By Clement Lee, MD, MSc

Published July 20, 2022

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

Articles discussed in this episode:

1. Woods CR et al. Clinical Practice Guideline by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America: 2021 Guideline on Diagnosis and Management of Acute Hematogenous Osteomyelitis in Pediatrics. J Pediatric Infect Dis Soc 2021.

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.