title: [Osteoarticular pneumococcal infections observed in a tertiary hospital over a period of 11 years].
abstract: BACKGROUND
  Osteoarticular pneumococcal infection is an infrequent complication of pneumococcal bacteremia, due to the advances in antibiotic therapy and in the pattern of immunization.
  
  
  METHODS
  A retrospective study was conducted on patients diagnosed with osteoarticular pneumococcal infection between January 2003 and December 2013 in the University Hospital Marqués de Valdecilla in Santander.
  
  
  RESULTS
  Five out of 321 patients diagnosed with pneumococcal bacteremia had osteoarticular infection. All of them had at least one chronic underlying disease and had been immunized according to the standard vaccination schedule. Hip and vertebra were the most common joints involved. Outcome was favorable in all cases.
  
  
  CONCLUSIONS
  The clinical findings of pneumococcal osteoarticular infection should be borne in mind. Its optimal prevention in high-risk patients should include the 13V conjugate vaccine.
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario Marqués de Valdecilla-IDIVAL, RETICEF, Universidad de Cantabria, Santander, España. Electronic address: magdafergar@yahoo.es.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Fernández-García
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario Marqués de Valdecilla-IDIVAL, RETICEF, Universidad de Cantabria, Santander, España.
authors.forename: Amaia
authors.initials: A
authors.lastname: Casado-Díez
authors.affiliation: Servicio de Microbiología, Hospital Universitario Marqués de Valdecilla-IDIVAL, RETICEF, Universidad de Cantabria, Santander, España.
authors.forename: Carlos Antonio
authors.initials: CA
authors.lastname: Salas-Venero
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario Marqués de Valdecilla-IDIVAL, RETICEF, Universidad de Cantabria, Santander, España.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Hernández-Hernández
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001170:Arthritis, Infectious / Q000453:epidemiology* / Q000382:microbiology; D016470:Bacteremia / Q000453:epidemiology; D015897:Comorbidity; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008875:Middle Aged; D009894:Opportunistic Infections / Q000453:epidemiology* / Q000382:microbiology; D010000:Osteitis / Q000453:epidemiology* / Q000382:microbiology; D011008:Pneumococcal Infections / Q000453:epidemiology*; D022242:Pneumococcal Vaccines; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology; D062606:Tertiary Care Centers / Q000706:statistics & numerical data*; D014611:Vaccination
chemical_list: C414006:23-valent pneumococcal capsular polysaccharide vaccine; D022242:Pneumococcal Vaccines
keywords: Enfermedad neumocócica invasiva; Immunization; Infección osteoarticular; Invasive pneumococcal disease; Osteoarticular infection; Prosthesis; Prótesis; Vacunación