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septic arthritis guidelines

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https://www.readbyqxmd.com/read/27803223/international-consensus-on-the-definition-and-classification-of-fibrosis-of-the-knee-joint
#1
N S Kalson, L A Borthwick, D A Mann, D J Deehan, P Lewis, C Mann, M A Mont, R Morgan-Jones, S Oussedik, F M K Williams, A Toms, J N Argenson, J Bellemans, A Bhave, O Furnes, H Gollwitzer, F S Haddad, S Hofmann, V Krenn
AIMS: The aim of this consensus was to develop a definition of post-operative fibrosis of the knee. PATIENTS AND METHODS: An international panel of experts took part in a formal consensus process composed of a discussion phase and three Delphi rounds. RESULTS: Post-operative fibrosis of the knee was defined as a limited range of movement (ROM) in flexion and/or extension, that is not attributable to an osseous or prosthetic block to movement from malaligned, malpositioned or incorrectly sized components, metal hardware, ligament reconstruction, infection (septic arthritis), pain, chronic regional pain syndrome (CRPS) or other specific causes, but due to soft-tissue fibrosis that was not present pre-operatively...
November 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27321938/a-guideline-for-differential-diagnosis-between-septic-arthritis-and-transient-synovitis-in-the-ed-a-delphi-survey
#2
Jin Hee Lee, Moon Seok Park, Hyuksool Kwon, Chin Youb Chung, Kyoung Min Lee, Yu Jin Kim, Kyuseok Kim
OBJECTIVE: Among the causes of limping gait in children, septic arthritis (SA) and transient synovitis (TS) are the 2 most likely etiologies. The aim of this study was to determine the medical histories, physical examinations, and other studies to use to create a clinical guideline for differential diagnosis between SA and TS in children in the emergency department (ED). The pediatric orthopedic emergency committee of our institution addressed the issue of developing a guideline for differential diagnosis...
August 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26001240/septic-arthritis-in-children-frequency-of-coexisting-unsuspected-osteomyelitis-and-implications-on-imaging-work-up-and-management
#3
Johanna Monsalve, J Herman Kan, Erica K Schallert, George S Bisset, Wei Zhang, Scott B Rosenfeld
OBJECTIVE: Osteomyelitis and septic arthritis clinically present at any age with overlapping signs and symptoms. The purposes of this study were to evaluate the demographic distribution of septic arthritis and osteomyelitis in children and to explore optimal imaging guidelines for these patients. MATERIALS AND METHODS: We performed a retrospective study of children up to 18 years old who were treated for osteomyelitis or septic arthritis between January 2011 and September 2013...
June 2015: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/25835529/cadaveric-analysis-of-capsular-attachments-of-the-distal-femur-related-to-pin-and-wire-placement
#4
Kathryn Lowery, Paul Dearden, Kevin Sherman, Vishy Mahadevan, Hemant Sharma
OBJECTIVES: Septic arthritis following intra-capsular penetration of the knee by external fixation devices is a complication of traction/fixation devices inserted in the lower extremity [1,2]. The authors were unable to find reference to or exact measurements of the capsular attachments relating to the distal femur documented in the current literature. This study aimed to demonstrate the capsular attachments and reflections of the distal femur to determine safe placements of wires or traction devices...
2015: Injury
https://www.readbyqxmd.com/read/25788299/microbiological-culture-methods-for-pediatric-musculoskeletal-infection-a-guideline-for-optimal-use
#5
Jarren Section, Steven D Gibbons, Theresa Barton, David E Greenberg, Chan-Hee Jo, Lawson A B Copley
BACKGROUND: Culture results affect the diagnosis and treatment of children with musculoskeletal infection. To our knowledge, no previous large-scale study has assessed the relative value of culture methods employed during the evaluation of these conditions. The purpose of this study was to identify an optimal culture strategy for pediatric musculoskeletal infection. METHODS: Children with musculoskeletal infection were retrospectively studied to assess culture results from the infection site or blood; culture type, including aerobic, anaerobic, fungal, and acid-fast bacteria (AFB); antibiotic exposure history; and clinical history of children with positive culture results...
March 18, 2015: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/25650874/poor-adherence-to-guidelines-on-early-management-of-acute-hot-swollen-joint-s-an-evaluation-of-clinical-practice-and-implications-for-training
#6
Z Farah, V Reddy, W Matthews, I Giles
BACKGROUND: Synovial fluid analysis is an indispensable investigation to attain a diagnosis in a patient with acute hot swollen joint(s), septic arthritis in particular. A delay in appropriate early management results in serious undesired consequences. METHODS: We evaluated clinical practice at two teaching hospitals including 81 patients. We analysed medical records, laboratory pathology results and discharge summaries with regard to documentation of joint aspiration, blood cultures, antibiotic treatment and specialist referral...
May 2015: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/25618436/the-changing-epidemiology-of-bacteraemic-osteoarticular-infections-in-the-early-21st-century
#7
O Murillo, I Grau, J Lora-Tamayo, J Gomez-Junyent, A Ribera, F Tubau, J Ariza, R Pallares
Osteoarticular infections (OAI), which are often associated with bacteraemia, seem to be increasing. We studied all patients with bacteraemia and concomitant OAI: septic arthritis (SA), vertebral osteomyelitis (VOM) or peripheral osteomyelitis (POM), which were seen at our institution (1985-2011). Data were extracted from a prospective protocol of bacteraemia cases recorded. Trends in main findings were considered in five periods. Major antibiotic resistance patterns were studied. A total of 601 cases of bacteraemic OAI, accounting for 1...
March 2015: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/25538128/methicillin-resistant-staphylococcus-aureus-bone-and-joint-infections-in-children
#8
REVIEW
Albert Pendleton, Mininder S Kocher
Methicillin-resistant Staphylococcus aureus has been a clinically significant pathogen in orthopaedics for more than a decade. Research shows that these infections are more virulent and that treatment requires greater use of hospital resources. A multidisciplinary approach involving emergency department physicians, radiologists, interventional radiologists, MRI technicians, pediatricians, infectious disease specialists, anesthesiologists, and orthopaedic surgeons is necessary to optimize outcomes and minimize costs...
January 2015: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/25275987/lyme-arthritis-of-the-pediatric-ankle
#9
Amiethab Aiyer, Jessica Walrath, William Hennrikus
Lyme arthritis results from acute inflammation caused by the spirochete Borrelia burgdorferi. The number of cases per year has been rising since 2006, with a majority of patients being affected in the northeastern United States. Development of Lyme arthritis is of particular importance to the orthopedic surgeon because Lyme arthritis often presents as an acute episode of joint swelling and tenderness and may be confused with bacterial septic arthritis. Considering the vast difference in treatment management between these 2 pathologies, differentiating between them is of critical importance...
October 2014: Orthopedics
https://www.readbyqxmd.com/read/25024877/clinical-guidelines-for-the-antimicrobial-treatment-of-bone-and-joint-infections-in-korea
#10
REVIEW
(no author information available yet)
There are many various diseases in the bone and joint infections, and we tried to make antimicrobial treatment guidelines for common infectious diseases based on available data for microbiology and clinical trials. This guidelines focused on the treatment of osteomyelitis and septic arthritis, which can be experienced by physicians at diverse clinical settings. This guidelines is not applicable to diabetic foot infections, postoperative infections or post-traumatic infections which need special considerations...
June 2014: Infection & Chemotherapy
https://www.readbyqxmd.com/read/24974931/-a-case-of-severe-systemic-juvenile-idiopathic-arthritis-introduced-tocilizumab-in-early-phase-of-the-disease
#11
Takeshi Ikegawa, Kazuko Yamazaki, Kenichi Nishimura, Taichi Kanetaka, Masako Kikuchi, Tomo Nozawa, Ryouki Hara, Tomomi Sato, Nodoka Sakurai, Shumpei Yokota
A 14-year-old boy was admitted in the former hospital with remittent fever, erythematous rash, joint pain, and muscle pain. Antibiotics were ineffectively administered and then, methylprednisolone (mPSL) pulse therapy with methotrexate was introduced under the diagnosis of suspected systemic juvenile idiopathic arthritis (JIA). However, he still had clinical symptoms and signs, and was transferred to our hospital. Re-examination revealed no malignancies including acute leukemia by bone marrow aspiration, no infectious agents by septic work, and no significant increases of antibodies against several viruses including CMV, EBV, HSV, Parvovirus B19, adenovirus, and so forth...
2014: Nihon Rinshō Men'eki Gakkai Kaishi, Japanese Journal of Clinical Immunology
https://www.readbyqxmd.com/read/24863405/c-reactive-protein-and-erythrocyte-sedimentation-rate-changes-after-arthroscopic-anterior-cruciate-ligament-reconstruction-guideline-to-diagnose-and-monitor-postoperative-infection
#12
Cheng Wang, Yingfang Ao, Xiaohua Fan, Jianquan Wang, Guoqing Cui, Yuelin Hu, Jiakuo Yu
PURPOSE: The purposes of our study were to determine normative C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) values from a retrospective review of patients with and without infection after anterior cruciate ligament (ACL) reconstruction and to determine CRP and ESR threshold levels that can serve as diagnostic indicators of infection. We also tried to draw a curve of CRP and ESR value changes after treatment of ACL infection to evaluate the response to treatment of the infection...
September 2014: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/24860135/fungal-osteomyelitis-and-septic-arthritis
#13
REVIEW
Jason T Bariteau, Gregory R Waryasz, Matthew McDonnell, Staci A Fischer, Roman A Hayda, Christopher T Born
Management of fungal osteomyelitis and fungal septic arthritis is challenging, especially in the setting of immunodeficiency and conditions that require immunosuppression. Because fungal osteomyelitis and fungal septic arthritis are rare conditions, study of their pathophysiology and treatment has been limited. In the literature, evidence-based treatment is lacking and, historically, outcomes have been poor. The most common offending organisms are Candida and Aspergillus, which are widely distributed in humans and soil...
June 2014: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/24418301/diagnosis-and-classification-of-reactive-arthritis
#14
REVIEW
Carlo Selmi, M Eric Gershwin
Reactive arthritis is a form of seronegative spondyloarthritis clinically associated with inflammatory back pain, additive or migratory oligoarthritis, and extra-articular symptoms that typically follow a gastrointestinal or urogenital infection by a minimum of 1 to a maximum of 3-6 weeks. Once arthritis is observed, however, microbial tests and blood or synovial fluid cultures are negative, and only serum antibodies are detected. Reactive arthritis commonly affects young adults, most frequently white and carrying the HLA-B27 allele...
April 2014: Autoimmunity Reviews
https://www.readbyqxmd.com/read/23296558/-septic-arthritis-of-the-sternoclavicular-joint-radical-resection-and-treatment-with-a-pectoralis-flap
#15
B Schmidt-Rohlfing, M Dittrich, V Haas, O Kuhtin
After infection of a vascular prosthesis with generalised sepsis, a 59-year-old male patient suffered from an increasing swelling of his right sternoclavicular joint. We performed an incision and debridement of the SC joint and harvested material for microbiological diagnosis. However, we were not able to overcome the inflammation until we performed a radical resection including the medial aspect of the clavicle and parts of the manubrium followed by coverage with a pectoralis flap. The further course was uneventful with a good functional result...
December 2012: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/23114245/the-spectrum-of-group-a-streptococcal-joint-pathology-in-the-acute-care-setting
#16
Megan E Mignemi, Jeffrey E Martus, Andrea C Bracikowski, Steven A Lovejoy, Gregory A Mencio, Jonathan G Schoenecker
OBJECTIVES: Group A streptococcus (GAS) is a frequent cause of pediatric musculoskeletal infections including septic arthritis, acute rheumatic fever (ARF), and a more benign arthritis called post-streptococcal reactive arthritis. Children with painful joints are frequently evaluated in the acute care setting, and because the presentation of each of these entities is similar, the diagnosis can be difficult to make. Five cases of children with GAS arthridities are presented to demonstrate the spectrum of GAS-associated joint pathologies encountered in the acute care setting and also to discuss how GAS laboratory tests may assist in the evaluation and management of children presenting with a painful joint...
November 2012: Pediatric Emergency Care
https://www.readbyqxmd.com/read/22966724/septic-arthritis-in-children
#17
V Riccio, I Riccio, G Porpora, D Riccardi, G Riccardi
Osteoarticular infections are a form of diagnostic and therapeutic emergency in infants and children, even if relatively rare. Despite decades of experience with different protocols, and multiple clinical trials, today it is still difficult to determine what kind of antibiotics is really effective, what kind of associations are required, which is the optimal time range of a treatment, when and on which subjects to base the transition from a parenteral treatment to an oral one. Current philosophy aims more and more at reducing hospitalization and costs, and wants to decrease the discomfort in the family...
May 2012: La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics
https://www.readbyqxmd.com/read/22863462/acr-appropriateness-criteria%C3%A2-limping-child-ages-0-to-5-years
#18
Sarah S Milla, Brian D Coley, Boaz Karmazyn, Molly E Dempsey-Robertson, Jonathan R Dillman, Christopher E Dory, Matthew Garber, Laura L Hayes, Marc S Keller, James S Meyer, Charles Paidas, Molly E Raske, Cynthia K Rigsby, Stephanie Spottswood, Peter J Strouse, Roger F Widmann, Sandra L Wootton-Gorges
The appropriate imaging for pediatric patients (ages 0-5 years) being evaluated for limping depends on the clinical presentation, specifically, the presence of signs of infection, any localization of pain, and history of or suspected trauma. Common diagnoses causing limping in children are briefly reviewed, and recommended imaging techniques are discussed, including toddler's fracture, transient synovitis, septic arthritis, Legg-Calvé-Perthes disease, and osteomyelitis. The ACR Appropriateness Criteria(®) are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel...
August 2012: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/22263319/the-role-of-perioperative-care-in-reducing-rates-of-methicillin-resistant-staphylococcus-aureus
#19
Clare Byrne, Alexandra Hazlerigg, Wasim Khan, Peter Smitham
Methicillin resistant Staphylococcus aureus (MRSA) is defined as any strain of Staphylococcus aureus resistant to beta-lactam antibiotics, including the penicillins and cephalosporins. Over the past ten years the UK has seen a dramatic increase in MRSA prevalence in healthcare facilities and the community, with an estimated 30-50% of healthy adults thought to be colonised with MRSA. Surgical patients are among those at highest risk. With potential sequelae including septicaemia, septic shock, septic arthritis, osteomyelitis, meningitis, pneumonia or endocarditis, it is vital that all care facilities have up to date evidence-based guidelines to tackle this problem...
December 2011: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/22223222/-international-clinical-practice-guidelines-and-management-of-rheumatology-in-madagascar
#20
S Ralandison, E Rafalimanana, H Rakotonirainy, R Rabenja
Developed countries issue recommendations regarding healthcare that aren't constantly appropriate for emergent countries. We suggest some remarks concerning rheumatology in Madagascar, taking account of scientific data, medical ethics, equality and equity. We have studied the minimal cost of care of medical conditions found in our hospital department if we were to follow international recommendations for their management. Then, we have estimated treatment expenses as a percentage of the SMIC (Malagasy minimum monthly salary)...
February 2012: Bulletin de la Société de Pathologie Exotique
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