In osteomielites of pelve the signals are: lameness, pain in abdome, hip, virilha or thigh and fever. In the diagnosis local pain in the infectado bone is proven intense, preceded of fever, loss of weight, fatigue. Presence of leucocitose. High VHS and PCR. Sanguineous samples (positive in 60%), cultures of inhaled of celulites and inhaled disgnostic of the space periosteal (or, if negative of the bone) must be evaluated before initiating antibioticoterapia.
Attainment of x-rays or TC for periosteais ascertainment of tumefao of soft fabrics, rise and calcificaes and ssea destruction and to consider alternative disgnostic (sseos tumors, leucemias sseos cysts). The RM is useful to delineate the extension of the infection for complex cases, or when the infection is associated with a trauma, surgery or falciforme anemia. The RM obtains to discern osteomielite from discite. (BEHRMAN, KLIEGMAN, 2004). One initiates the treatment with antibioticoterapia, the use of the adequate antibiotic in agreement the parameters of the child (weight, age). The used antibiotic must at least be kept per the 3 4 weeks or until ceasing of the symptoms and sensitivity of the microrganismos.
The monitoramento of hematolgicos systems, renal and heptico is of utmost importance a time that can be affected by the drug. Coadjuvante the antibioticoterapia the child must be kept in rest in the stream bed, immobilization of the affected extremity, with splice or bivalvado plaster, restraining or limiting the dissemination of the infection. Surgical treatment consists of the sequestrectomia (removal of bone dead) and surgical draining to prevent formation of abscesses. During the surgical draining, it puts polyethylene pipes in the wound (one instila antibitica solution in the area infectada for gravity and another on a suction device makes the draining) (WONG, 1999) In the nursing description the acute sprouting of the signals and symptoms is proven (pain, edema, eritema, fever). Evaluation of the patient how much the factors of risk (advanced age, diabetes, therapies with corticosteride) and former history of injury, infection or ortopdica surgery. In cases of acute hematognica osteomielite weakness generalized in sight of the sistmica reaction to the infection occurs. During the physical examination it has the exhibition of inflamed area, edemaciada and painful. It can have purulenta draining.