| Etiology of septic arthritis in children: an update for the new millennium. | |
| | |
MedLine Citation:
|
PMID: 20674219 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
OBJECTIVE: We sought to describe the causative organisms and joints involved in cases of pediatric septic arthritis in the post-Haemophilus influenzae type B and post-pneumococcal vaccine age and in the age of increasing infection with community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA). METHODS: This was a retrospective chart review of all children younger than 13 years presenting to our tertiary care pediatric emergency department between January 1, 2003, and December 31, 2007, with the diagnosis of septic arthritis. We reviewed the results of synovial fluid Gram stain and synovial fluid and blood culture. We defined septic arthritis as any of these 3 tests being positive for a known pathogen. We report patient characteristics, joint(s) involved, and organisms identified in these cases. RESULTS: We describe 13 cases of septic arthritis. Fifteen joints were involved. The most common joint involved was the hip (6/15) followed by the elbow (3/15), knee (2/15), and ankle (2/15). The most common organism involved was methicillin-sensitive S aureus (6/13), followed by CA-MRSA (2/13) and Streptococcus pneumoniae (2/13). CONCLUSION: Our results support continued concern for involvement of the hip and knee in cases of pediatric septic arthritis and consideration of other joints such as the elbow. Our data also suggest that empiric antibiotic coverage for CA-MRSA is indicated in cases of pediatric septic arthritis, as well as continued coverage for methicillin-sensitive S aureus and S pneumoniae. |
| | |
Authors:
|
Timothy P Young; Lee Maas; Andrea W Thorp; Lance Brown |
Related Documents
:
|
10457809 - Oral cavity onlay grafting using foam impregnated with honey:--a case report. 12359609 - Group b streptococcus endogenous endophthalmitis : case reports and review of the liter... 10900639 - Scapholunate dissociation caused by gouty arthritis of the wrist. case report. 10778569 - Malignancy in rheumatoid arthritis--a report of two cases. 3451109 - Pyoderma gangrenosum: a waikato experience. 2182809 - Chylous peritonitis in children: case report and literature review. 20961729 - Surgical treatment of primary melanoma of the umbilicus with sentinel lymph node biopsy... 22143709 - Malignant melanoma of the oral cavity. review of the literature and experience in a per... 1553589 - Epidural lipomatosis in steroid-treated patients. |
Publication Detail:
|
Type: Journal Article Date: 2010-08-01 |
Journal Detail:
|
Title: The American journal of emergency medicine Volume: 29 ISSN: 1532-8171 ISO Abbreviation: Am J Emerg Med Publication Date: 2011 Oct |
Date Detail:
|
Created Date: 2011-10-04 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
|
Languages: eng Pagination: 899-902 Citation Subset: IM |
Copyright Information:
|
Copyright © 2011 Elsevier Inc. All rights reserved. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Proteomic study of serum proteins in a type 2 diabetes mellitus rat model by Chinese traditional med...
Next Document: Acute episode of reversible blindness after an overdose of beta blockers and calcium channel antagon...