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Multi-centre study of children with suspected bone and/or joint infection (BJI)

Imaging in Paediatric Osteomyelitis (the PICBONE study): a multi-centre cohort study to understand the role of MRI and Ultrasound in the diagnosis of acute haematogenous osteomyelitis in children.

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN15471635
Enrollment
7500
Registered
2023-05-04
Start date
2023-06-16
Completion date
Unknown
Last updated
2025-09-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diagnosis of osteomyelitis (Bone/joint infection) in children aged 0-15 years Musculoskeletal Diseases

Interventions

1. Learn from children who have previously been suspected to have bone and joint infection. We will look at past records from at least 30 hospitals in the UK. These will tell us which tests were perfo

Sponsors

University of Oxford
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Current inclusion criteria as of 12/07/2024: 1. The child is aged between 0-15 years. 2. BJI is part of the differential diagnosis, even remotely, and even if the treating clinician believes BJI can be ruled out on the basis of the history and examination alone. 3. The duration of symptoms is less than 2 weeks at the time of attendance to acute healthcare. 4. Symptoms affecting the appendicular skeleton only. _____ Previous inclusion criteria: 1. The child is aged between 0-15 years. 2. The treating clinician is suspicious of a diagnosis of bone and/or joint infection. 3. The duration of symptoms is less than 2 weeks at the time of attendance to acute healthcare.

Exclusion criteria

Exclusion criteria: Current exclusion criteria as of 12/07/2024: 1. There is evidence that the patient and/or parent/guardian would be unable to adhere to study procedures or complete follow-up, such as developmental delay or a developmental abnormality. 2. Limited comprehension by the parent guardian of the English language. This will be assessed by the recruiting team at participating sites. 3. Suspected infections affecting the axial skeleton (skull spine, or ribs). 4. Traumatic aetiology of symptoms _____ Previous exclusion criteria: 1. There is evidence that the patient and/or parent/guardian would be unable to adhere to study procedures or complete follow-up, such as developmental delay or a developmental abnormality. 2. Limited comprehension by the parent guardian of the English language. This will be assessed by the recruiting team at participating sites.

Design outcomes

Primary

MeasureTime frame
Presence or absence of proven BJI, which includes osteomyelitis and/or septic arthritis measured using patient records measured at a single time point

Secondary

MeasureTime frame
Experience through semi-structured qualitative interviews with children and parents and focus groups with health professionals measured at a single time point

Countries

England, Northern Ireland, Scotland, United Kingdom, Wales

Contacts

Public ContactDebbie Jewell
picbone@ndorms.ox.ac.uk+44 (0) 1865 613763

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026