Preoperative Antibiotics for Septic Arthritis in Children: Delay in Diagnosis

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Preoperative antibiotics for septic arthritis in children: delay in diagnosis.

PURPOSE To review the records of 50 children who underwent open joint washout for septic arthritis with (n=25) or without (n=25) preoperative antibiotics. METHODS Records of 50 children who underwent open joint washout for presumed septic arthritis with (n=25) or without (n=25) preoperative antibiotics were reviewed. 17 boys and 8 girls aged 3 weeks to 16 years (median, 1.5 years) who were pr...

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Septic arthritis in children: diagnosis and treatment

Acute septic arthritis in children is usually hematogenous. It is more common in boys, and it most often affects the large joints of the lower limb. Diagnosis is based on cultures obtained from the infected joint and is supported by C-reactive protein blood test or ultrasound imaging. Staphylococcus aureus is the most common causative agent and is the primary target for empiric treatment. First...

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Acute septic arthritis in children.

THREE decades ago in the pre-antibiotic era, infection of a major joint carried an appreciable mortality and the end result of the joint was usually disastrous. Treatment consisted of rest and drainage, either by aspiration or formal surgical exploration. Since the introduction of antibiotics the results have improved dramatically. At first antibiotics were given systemically then later supplem...

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Dexamethasone Therapy for Septic Arthritis in Children.

BACKGROUND AND OBJECTIVE Prospective studies of children with septic arthritis report that adding dexamethasone to antibiotic therapy contributes significantly to clinical and laboratory improvement. This study sought to evaluate the effect of this regimen outside of a randomized controlled trial. METHODS The sample consisted of children with septic arthritis hospitalized at a tertiary pediat...

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Choice of antibiotics in management of acute osteomyelitis and acute septic arthritis in children.

A survey of 158 children with acute haematogenous osteomyelitis, and of 94 children with acute septic arthritis over an 8-year period was made to determine which bacteria cause these infections. In the osteomyelitis group the organism most frequently detected was Staphylococcus aureus (74% of cases). In 16% of cases streptococci were found. Staph. aureus was also the most frequently grown organ...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2015

ISSN: 2309-4990,2309-4990

DOI: 10.1177/230949901502300119