Septic arthritis in childhood

Borella, Luis; Goobar, Julio E.; Summitt, Robert L.; Clark, Glenn M.

doi:10.1016/s0022-3476(63)80044-x

Cited by 53 publications

(13 citation statements)

References 6 publications

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“…This was comparable to findings reported by other authors. [1] In infants and children also Staphylococcus aureus dominated and this agrees with other authors' findings [5][6] . In neonates Streptococcus sp.…”

Section: Section: Orthopaedicssupporting

confidence: 90%

Acute Pyogenic Arthritis Seen In a Tertiary Teaching Hospital in Manipur

Singh¹,

Singh²,

Singh³

et al. 2017

AIMDR

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Variations in the arterial pattern of the upper limb are very common as observed in many cadaveric and angiographic studies. Knowledge of variations in the origin and course of the radial artery is important because they are used for many diagnostic procedures as well as vascular and reconstructive surgeries like coronary angiography, percutaneous coronary intervention and coronary artery bypass surgery. During routine dissection in our institute, we observed a case of high origin of the radial artery in a 33 year old male cadaver. It was found to be unilateral; on left side, radial artery was taking origin from 3 rd part of the axillary artery at the lower border of pectoralis minor before the origin of subscapular artery and anterior circumflex humeral artery. It had a superficial course in the arm crossing the median nerve from medial to lateral side. The further course of this superficial radial artery in the forearm was normal and it terminated by forming a deep Palmar arch in hand. These variations may be of great clinical implications for vascular and plastic surgeons and radiologists. Superficial course of radial artery makes it vulnerable to accidental injuries and elevates the risk of bleeding.

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Section: Section: Orthopaedicssupporting

confidence: 90%

Acute Pyogenic Arthritis Seen In a Tertiary Teaching Hospital in Manipur

Singh¹,

Singh²,

Singh³

et al. 2017

AIMDR

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“…On the other hand, surgical drainage is also frequently employed as initial treatment of acute bacterial joint infections, despite the fact that many patients treated with appropriate antibiotics respond well when the joint is drained by repeated needle aspiration rather than by surgery (1)(2)(3)(4)(5)(6). Indeed, whether the patient with septic arthritis is treated with needle aspiration or surgical drainage appears frequently to depend upon whether he has been admitted to a medical or to a surgical service, and studies of septic arthritis which have attempted to relate the therapeutic outcome to the type of joint drainage employed are sparse (7).…”

mentioning

confidence: 99%

Treatment of septic arthritis

Goldenberg

Brandt

Cohen

et al. 1975

Arthritis & Rheumatism

195

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Surgery and needle aspiration have been evaluated as initial modes of drainage in 59 patients with acute septic arthritis. Full recovery was noted in 42y0 treated surgically at the outset. On the other hand, 67% of those treated by needle aspiration recovered without sequelae, despite the greater prevalence in this group of adverse host factors-eg, serious underlying From the Arthritis and Connective Tissue Disease Section,

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“…Most important factors determining the outcome of septic arthritis are rapid diagnosis and timely intervention in the form of effective antibiotics and surgical drainage [1, 2, 10]. This study is an attempt to redefine effective empirical therapy and to reinforce the importance of common organisms found in these patients.…”

Section: Discussionmentioning

confidence: 99%

Microorganisms and Their Sensitivity Pattern in Septic Arthritis of North Indian Children: A Prospective Study from Tertiary Care Level Hospital

et al. 2013

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Background. Septic arthritis is a true orthopaedic emergency. Important factors determining outcome are rapid diagnosis and timely intervention. Changing trends in microbiological spectrum and emerging drug resistance poses big challenge. Present study evaluates bacterial strains and their sensitivity pattern in septic arthritis of North Indian children. Methods. Fifty children with septic arthritis of any joint were evaluated. Joint was aspirated and 2 cc of aspirated fluid was sent for gram stain and culture. Blood cultures were also sent for bacteriological evaluation. Results. Fifty percent cases had definite radiological evidence of septic arthritis whereas ultrasound revealed fluid in 98% cases. Aspirated fluid showed isolates in 72% cases. The most common organism was Staphylococcus aureus (62%) followed by Streptococcus pneumoniae and Gr. B Streptococcus. Blood culture could grow the organism in 34% cases only. The bacterial strain showed significant resistance to common antibiotic cocktail in routine practice. Resistance to cloxacillin and ceftriaxone was 62% and 14% respectively. No organisms were resistant to vancomycin and linezolid. Conclusion. S. aureus is still the most common organism in septic arthritis. Though a significant resistance to common antibiotic cocktail is noticed, the strain is susceptible to higher antibiotics. We recommend using these antibiotics as an empirical therapy till culture and sensitivity report is available.

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Septic arthritis in childhood

Cited by 53 publications

References 6 publications

Acute Pyogenic Arthritis Seen In a Tertiary Teaching Hospital in Manipur

Acute Pyogenic Arthritis Seen In a Tertiary Teaching Hospital in Manipur

Treatment of septic arthritis

Microorganisms and Their Sensitivity Pattern in Septic Arthritis of North Indian Children: A Prospective Study from Tertiary Care Level Hospital

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