0
June 1990, Vol 144, No. 6 >
Article | June 1990

Infection After Farm Machine–Related Injuries in Children and Adolescents FREE

Stephen R. Brennan, DO; K. Hable Rhodes, MD; Hamlet A. Peterson, MD
[+] Author Affiliations

Accepted for publication December 29, 1989.

Reprint requests to Department of Pediatrics, Mayo Clinic, 200 First St SW, Rochester, MN 55905 (Dr Rhodes).


Am J Dis Child. 1990;144(6):710-713. doi:10.1001/archpedi.1990.02150300108027.
Text Size: A A A
Published online
Article
References
Comments

• Infection played an important role in prolonging hospitalization and increasing morbidity in 68 children injured in farm settings. Predominantly gram-negative enteric organisms, group D streptococci, and anaerobic organisms were isolated in cultures of specimens obtained from wounds. Infection was more often associated with severe injuries of the large bones of the extremities than in amputation injuries of the digits and crush or rollover injuries when the skin barrier was intact. The occurrence of infection in farm injuries was associated with prolonged hospitalization for parenteral antibiotic therapy, multiple surgical débridements with a need for general anesthesia, and permanent disability (decreased range of motion and loss of limbs and digits). Early aggressive surgical débridement and antimicrobial therapy guided by isolation and sensitivity testing of the major organisms are required because of polymicrobial invasion of vascularly compromised tissue.

(AJDC. 1990;144:710-713)

REFERENCES

1 +
Cogbill TH, Busch HM Jr, Stiers GR.  Farm accidents in children . Pediatrics . 1985;;76:562-566.
2 +
Rivara FP.  Fatal and nonfatal farm injuries to children and adolescents in the United States . Pediatrics . 1985;;76:567-573.
3 +
Swanson JA, Sachs MI, Dahlgren KA, Tinguely SJ.  Accidental farm injuries in children . AJDC . 1987;;141:1276-1279.
4 +
Fitzgerald RH, Cooney WP III, Washington JA II, Van Scoy RE, Linscheid RL, Dobyns JH.  Bacterial colonization of mutilating hand injuries and its treatment . J Hand Surg Am . 1977;;2:85-89.
5 +
Washington JA II, Wilson WR.  Collection and handling of specimens . In: Washington JA, ed. Laboratory Procedures in Clinical Microbiology . 2nd ed. New York, NY: Springer-Verlag; 1985;:1-69.
6 +
Yu PK, Washington JA II.  Identification of aerobic and facultatively anaerobic bacteria . In: Washington JA, ed. Laboratory Procedures in Clinical Microbiology . 2nd ed. New York, NY: Springer-Verlag; 1985;:131-250.
7 +
Rosenblatt JE.  Anaerobic bacteria . In: Washington JA, ed. Laboratory Procedures in Clinical Microbiology . 2nd ed. New York, NY: Springer-Verlag; 1985;:315-373.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Cogbill TH, Busch HM Jr, Stiers GR.  Farm accidents in children . Pediatrics . 1985;;76:562-566.
2 +
Rivara FP.  Fatal and nonfatal farm injuries to children and adolescents in the United States . Pediatrics . 1985;;76:567-573.
3 +
Swanson JA, Sachs MI, Dahlgren KA, Tinguely SJ.  Accidental farm injuries in children . AJDC . 1987;;141:1276-1279.
4 +
Fitzgerald RH, Cooney WP III, Washington JA II, Van Scoy RE, Linscheid RL, Dobyns JH.  Bacterial colonization of mutilating hand injuries and its treatment . J Hand Surg Am . 1977;;2:85-89.
5 +
Washington JA II, Wilson WR.  Collection and handling of specimens . In: Washington JA, ed. Laboratory Procedures in Clinical Microbiology . 2nd ed. New York, NY: Springer-Verlag; 1985;:1-69.
6 +
Yu PK, Washington JA II.  Identification of aerobic and facultatively anaerobic bacteria . In: Washington JA, ed. Laboratory Procedures in Clinical Microbiology . 2nd ed. New York, NY: Springer-Verlag; 1985;:131-250.
7 +
Rosenblatt JE.  Anaerobic bacteria . In: Washington JA, ed. Laboratory Procedures in Clinical Microbiology . 2nd ed. New York, NY: Springer-Verlag; 1985;:315-373.

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems