Table 1.
Characteristics of Patients With Posttraumatic Osteomyelitis Caused by Pseudomonas aeruginosa, April 2018 to September 2021, Médecins Sans Frontières–Supported Facilities in Mosul (Iraq) and Gaza (Palestine)
| Characteristic | Total Cohorta (n = 61) |
Mosul (n = 20) |
Gaza (n = 41) |
P Valueb |
|---|---|---|---|---|
| Sociodemographic and general characteristics | ||||
| Age, y, median (IQR) | 25 (21–34) | 26 (13–45) | 25 (22–31) | .96 |
| Sex | ||||
| Male | 57 (93.4) | 17 (85.0) | 40 (97.6) | .10 |
| Female | 4 (6.6) | 3 (15.0) | 1 (2.4) | |
| Preexisting comorbidity at admissionc | ||||
| No | 51 (83.6) | 16 (80.0) | 35 (85.4) | .72 |
| Yes | 10 (16.4) | 4 (20.0) | 6 (14.6) | |
| Status of patients at end of study period | ||||
| Under follow-up in the program | 39 (63.9) | 8 (40.0) | 31 (75.6) | .01 |
| Lost to follow-upd | 17 (27.9) | 11 (55.0) | 6 (14.6) | |
| Referred | 5 (8.2) | 1 (5.0) | 4 (9.8) | |
| Injury-related characteristics | ||||
| Year of injury | ||||
| ≤2018 | 33 (54.1) | 11 (55.0) | 22 (53.7) | .77 |
| >2018 | 28 (45.9) | 9 (45.0) | 19 (46.3) | |
| Mechanism of injurye | ||||
| Violent trauma | 42 (68.8) | 4 (20.0) | 38 (92.7) | <.001 |
| Nonviolent trauma | 19 (31.1) | 16 (80.0) | 3 (7.3) | |
| Bone fractures | ||||
| 1 | 31 (50.8) | 12 (60) | 19 (46.3) | .32 |
| ≥2 | 30 (49.2) | 8 (40) | 22 (53.7) | |
| Site of injury | ||||
| Tibia | 35 (57.4) | 8 (40.0) | 27 (65.9) | .06 |
| Fibula | 23 (37.7) | 5 (25.0) | 18 (43.9) | .15 |
| Femur | 11 (18.0) | 3 (15.0) | 8 (19.5) | .67 |
| Foot | 10 (16.4) | 5 (25.0) | 5 (12.2) | .20 |
| Type of fracture | ||||
| Multifragmentary | 44 (74.6) | 4 (21.0) | 40 (100) | <.001 |
| Simple or wedge | 15 (25.4) | 15 (78.9) | 0 (0) | |
| Infection-related characteristics | ||||
| PTO episodes | ||||
| 1 | 47 (77.0) | 18 (90.0) | 29 (70.7) | .12 |
| ≥2 | 14 (23.0) | 2 (10.0) | 12 (29.3) |
Data are presented as No. (%) unless otherwise indicated.
Abbreviations: IQR interquartile range; PTO, posttraumatic osteomyelitis.
aPatients admitted at different points in time for 2 different fracture locations (n = 1) were included once.
b P < .05 is statistically significant.
cPatients with at least 1 chronic comorbidity including diabetes, cardiovascular diseases, psychiatric illnesses, and others.
dPatients who have missed their last 3 appointments or had >6 months elapsing without any follow-up visit.
eViolent trauma includes war-related trauma (explosives, gunshot, and mines); nonviolent trauma includes but is not limited to road traffic accidents, burns, and surgical pathologies.