Native Joint Septic Arthritis: Comparison of Outcomes with Medical and Surgical Management

Autor: Kaoru Harada, Eric C DeRycke, Shaili Gupta, Ian McConnell, Jürgen L Holleck
Rok vydání: 2019
Předmět:
Male
Wrist Joint
Knee Joint
medicine.medical_treatment
Sternoclavicular joint
Arthritis
01 natural sciences
Tertiary Care Centers
Arthroscopy
0302 clinical medicine
Elbow Joint
Medicine
030212 general & internal medicine
Range of Motion
Articular
Aged
80 and over
Arthrotomy
Rehabilitation
medicine.diagnostic_test
Shoulder Joint
Candidiasis
General Medicine
Middle Aged
Staphylococcal Infections
Anti-Bacterial Agents
Hospitalization
medicine.anatomical_structure
Drainage
Female
Hip Joint
Range of motion
Arthrocentesis
Adult
medicine.medical_specialty
03 medical and health sciences
Streptococcal Infections
Humans
0101 mathematics
Gram-Positive Bacterial Infections
Aged
Retrospective Studies
Arthritis
Infectious
business.industry
General surgery
010102 general mathematics
Retrospective cohort study
Recovery of Function
medicine.disease
Sternoclavicular Joint
Septic arthritis
Gram-Negative Bacterial Infections
business
Ankle Joint
Zdroj: Southern Medical Journal. 112:238-243
ISSN: 1541-8243
0038-4348
DOI: 10.14423/smj.0000000000000958
Popis: Objective To determine whether there are differences in the outcomes of native joint septic arthritis (SA) in adults, based on medical versus surgical management. Methods A 10-year retrospective single-center study was conducted of patients admitted to a tertiary care hospital between January 1, 2006 and December 31, 2015 with a diagnosis of SA to compare outcomes based on the management approach taken: medical (bedside closed-needle joint aspiration) versus surgical (arthrotomy/arthroscopy). Evaluated outcomes included joint recovery, time to recovery, length of stay, disposition to home versus rehabilitation unit, recurrence of SA in the same joint, and mortality. Results Of 118 confirmed cases of SA, 48 were in prosthetic joints and 70 were in native joints, and 61 met our inclusion criteria. Forty-one (67%) patients received surgery, and 20 (33%) received closed-needle aspiration. There was no statistically significant difference in long-term outcomes between the two groups at 12 months. Patients managed medically were more likely to experience full recovery at 3 months and were less likely to need short-term rehabilitation. Conclusions Medical management with closed-needle aspiration may be an adequate approach to the treatment of native joint infections.
Databáze: OpenAIRE
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