[Bacterial spondylodiskitis. Diagnostic problems].
The authors carried out 193 needle aspiration of needle biopsies of the discs or vertebrae in 7 French Rheumatology Units to draw up the bacteriological diagnosis in infectious spondylodiscitis. The bacteria were identified in 62.7% of cases on average, the score of the most favourable series reaching 80%. No incident or accident was observed. These results, which are definitely better than direct surgical exposure, suggest the widespread adoption of this technique before any antibiotic therapy whenever spondylodiscitis is suspected. However, a prospective study with a uniform protocol seems necessary in order to draw up more precisely the value and limits of the method.
D001424:Bacterial Infections / Q000175:diagnosis; D001707:Biopsy, Needle; D006801:Humans; D007403:Intervertebral Disc / Q000382:microbiology; D013166:Spondylitis / Q000175:diagnosis* / Q000382:microbiology
Les spondylodiscites bactériennes. Problèmes diagnostiques.