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Acta Paediatr. 2012 Aug;101(8):e350-6. doi: 10.1111/j.1651-2227.2012.02716.x. Epub 2012 Jun 12.

Consensus in diagnostic definitions for bone or joint infections in children by a Delphi method with European French-speaking experts.

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1
University Lille-Nord de France, Lille, France.

Abstract

AIM:

Various diagnostic criteria have been proposed for bone or joint infection. This study used a Delphi process to determine the consensual definitions for arthritis, osteomyelitis and bone or joint infections in general in children.

METHODS:

A group of European French-speaking experts participated in an email Delphi process. Definitions were identified during a systematic search of the PubMed database. Five definitions of arthritis, eight for osteomyelitis and five for bone or joint infections in general were included in a three-round process. We sought two sorts of definitions: definitions for 'definitive' diagnoses for epidemiological studies and definitions for 'probable' diagnoses for clinical or therapeutic studies, considering enlarged criteria.

RESULTS:

Ten experts were involved in the Delphi process. A consensus was reached for a definitive diagnosis of arthritis, osteomyelitis and bone or joint infections in general. A consensus was also reached for a probable diagnosis of bone or joint infections in general.

CONCLUSION:

This Delphi process made consensus definitions and criteria available for bone or joint infections that could improve the comparability of both epidemiological and clinical studies. This is a first step to standardise diagnostic criteria and distinguish definitive and probable bone or joint infections in children.

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