A Simple Procedure may Cause Severe Results

Öz

Abstract Capillary blood sampling via a heel puncture is a common procedure performed on hospitalized neonates. If not performed properly, a heelstick can lead to complications. The clinical and financial impact of complications blood can be significant.Also in some situations, the procedure could be complicated with skin infections, hematomes, soft tissue infections, arthritis and osteomyelitis. We report an infant complicated with arthitis and soft tissue infection secondary to heel puncture and we want to emphesize the importance of neonatal procedures.

Anahtar Kelimeler

• Blood sample, neonatal screenıng programme, soft tissue edema, newborn

Kaynakça

1. Godberg I, Shauer L, Klier I, Seelenfreund M. Neonatal osteomyelitis of the calcaneus following a heel pad puncture: a case report. Clin Orthop Relat Res 1981;(158):195-7.
2. Yüksel S, Yüksel G, Oncel S, Divanlı E. Osteomyelitis
3. of the calceneus in the newborn: an going complication of Guthrie test. Eur J Pediatr 2007;166(5):503-4.
4. Blumenfeld TA, Turi GK, Blanc WA. Recommended site and depth of newborn heel skin punctures based on anatomical measurements and histopathology. Lancet 1979; 1(8110):230–233
5. Mok PM, Reilly BJ, Ash JM. Osteomyelitis in the neonate: clinical aspects and role of radiography and scintigraphy in diagnosis and management. Radiology 1982;145(3):677-82.
6. Dessi A, Crisafulli M, Accossu S, Setzu V, Fanos V. Osteo-articular infections in newborns: diagnosis and treatment. J Chemother 2008;20(5):542-50.
7. Jaramillo D, Treves ST, Kasser JR, Harper M, Sundel R, Laor T. Osteomyelitis and septic arthritis in children: appropriate use of imaging to guide treatment. Am J Roentgenol 1995;165(2):399-403.
8. Offiah AC. Acute osteomyelitis, septic arthritis and discitis: differences between neonates and older children. Eur J Radiol 2006;60(2):221-32.