{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T02:41:05Z","timestamp":1760928065546,"version":"build-2065373602"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1624","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>background: Children of Pacific ethnicity living in New Zealand have the second highest incidence of bone and joint infections (BJI)\nglobally. This paper reports illness characteristics and outcomes for Pacific children diagnosed with acute haematogenous osteomyelitis\n(AHO) or septic arthritis (SA) from the Auckland Region over a 5-year period. It also reports features associated with severe and complex\ndisease.\nmethods: Cases included all children aged \u226415 years hospitalised for AHO or SA in the Auckland Region, 1 January 2018\u201331 September\n2023. Prioritised ethnicity was identified from hospital records. Direct medical hospitalisation costs, treatment type and outcomes\nwere described up to 1 year following discharge. Complex illness was defined as recurrence\/chronic infection, readmission, intensive\ncare admission, complication following treatment or &gt;1 surgical procedure.\nresults: Of 563 cases of acute BJI, 152 were children identifying as Pacific ethnicity. Compared with NZ European children with BJI,\nPacific children had more eczema (34% vs 19%, p=0.002), multifocal sepsis (30% vs 10%, p=&lt;0.05) and surgical intervention (61% vs\n47%, p=0.01) with lengthier hospitalisations (14 days vs 9 days, p=0.001). Most Pacific children experienced complex illness (66%).\nComplex illness was associated with cultures positive for Staphylococcus aureus and eczema diagnosis. In regression analysis, complex\nillness was less likely for children with a previous throat swab positive for group A Streptococcus (GAS).\nconclusion: Pacific children with BJI experience more severe illness compared with NZ European children with BJI. Eczema is common\namong Pacific children with BJI. Proactive eczema management may represent suitable focus for disease prevention. Prior GAS throat\nswab appears associated with reduced rates of complex illness.<\/jats:p>","DOI":"10.26635\/6965.6973","type":"journal-article","created":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T02:00:12Z","timestamp":1760925612000},"page":"27-38","source":"Crossref","is-referenced-by-count":0,"title":["Epidemiology of bone and joint infection in Pacific children from the Auckland Region, 2018\u20132023"],"prefix":"10.26635","volume":"138","author":[{"given":"Sarah","family":"Hunter","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elsie","family":"Brown","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corina","family":"Grey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11177","published-online":{"date-parts":[[2025,10,24]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T02:00:14Z","timestamp":1760925614000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-138-no-1624\/epidemiology-of-bone-and-joint-infection-in-pacific-children-from-the-auckland-region-2018-2023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,24]]},"references-count":0,"journal-issue":{"issue":"1624","published-online":{"date-parts":[[2025,10,24]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.6973","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,24]]}}}