Clinical and laboratory profile in confirmed vs. suspected septic arthritis patients and its relevance in decision making: A comparative cross-sectional study
| Autor: | Sandeep Nema, Jose Austine, Kiyana Mirza, Suman Kumar Basel |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cross-sectional study Staphylococcus medicine.medical_treatment Clinical Decision-Making Arthritis Infections Diabetes Complications Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors Diabetes mellitus Internal medicine medicine Humans Orthopedics and Sports Medicine Renal Insufficiency Chronic Arthrotomy lcsh:R5-920 Arthritis Infectious 030222 orthopedics Clinical Laboratory Techniques business.industry Infectious Synovial fluid 030208 emergency & critical care medicine Immunosuppression Emergency department Middle Aged medicine.disease Cross-Sectional Studies Female Original Article Surgery Septic arthritis Emergencies Immunosuppressive agents lcsh:Medicine (General) business Kidney disease |
| Zdroj: | Chinese Journal of Traumatology Chinese Journal of Traumatology, Vol 24, Iss 2, Pp 94-99 (2021) |
| ISSN: | 1008-1275 |
| Popis: | Purpose: There were 10%–30% of patients with adult-onset septic arthritis (SA) exhibiting sterile synovial fluid (SF), and the uncertainty in the determining diagnosis of these patients posed a challenge in management. The purpose of this study was to investigate the differences between confirmed (Newman A) and suspected (Newman B & C) SA in adults. Methods: This was a descriptive study with a cross-sectional study design conducted at a tertiary referral centre from July 2016 to February 2019. Patients aged over 18 years presented to the emergency department with clinical features suggestive of SA and were scheduled to undergo arthrotomy and joint lavage by the treating surgeon were included in the study. Patients with prosthetic joint infections and open joint injuries were excluded. Patients’ demographic data, clinical features and laboratory parameters were collected. The clinical and laboratory profile (blood and SF) of the adult patients presenting with features suggestive of SA based on Newman criteria was statistically analyzed by SPSS version 20 software and Microsoft Excel. The categorical variables were expressed as proportions while the continuous variables were expressed as mean (SD) or median (IQR) depending upon the normality of distribution. The difference between the two groups for categorical variables was assessed using the Chi-square test and the difference for continuous variables was assessed using the unpaired t-test and the Mann-Whitney test depending upon normality. A p value |
| Databáze: | OpenAIRE |
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