The diagnostic utility of gram stain microscopy in paediatric septic arthritis – a retrospective case study

نویسندگان

  • J Wong
  • R Barksfield
  • R Hutchinson
چکیده

Methods We conducted a retrospective review of all patients of 16 years and under that underwent aspiration with or without washout of suspected septic joint from January 2005 to March 2011. Cases were defined as any patient with an organism identified on microbiology culture. The association between clinical features, laboratory results, operative findings and gram stain examination were compared against final culture results with chi-square test (for categorical data) and Mann Whitney test (for nonparametric data).

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

False-Negative Rate of Gram-Stain Microscopy for Diagnosis of Septic Arthritis: Suggestions for Improvement

We quantify the false-negative diagnostic rate of septic arthritis using Gram-stain microscopy of synovial fluid and compare this to values reported in the peer-reviewed literature. We propose a method of improving the diagnostic value of Gram-stain microscopy using Lithium Heparin containers that prevent synovial fluid coagulation. Retrospective study of the Manchester Royal Infirmary microbio...

متن کامل

Gram staining in the diagnosis of acute septic arthritis.

This study aimed at determining the sensitivity and specificity of Gram staining of synovial fluid as a diagnostic tool in acute septic arthritis. A retrospective study was made of 22 patients who had arthroscopic lavage following a provisional diagnosis of acute septic arthritis of the knee joint. Gram stains and cultures of the knee aspirates were compared with the clinical and laboratory par...

متن کامل

جستجوی آنتی ژن پلی ساکاریدی استر پتوکک گروه آ در مایع مفصلی بیماران مبتلا به آرتریت

 Background: Determining the etiologic agents of septic arthritis is very important. The aim of the present study was to determine group A streptococcal polysaccharide antigens in synovial fluid of patients with arthritis. Methods: A cross sectional study was conducted upon 52 cases with acute mono arthritis in Hazrat-e-Rasool Akram hospital in Tehran, Iran (2010-2012).Gram staining, ...

متن کامل

Serum procalcitonin for discrimination between septic and non-septic arthritis.

BACKGROUND Early differentiation between septic and non-septic arthritis is difficult. A previous study showed promising diagnostic accuracy of serum Procalcitonin (PCT) in septic arthritis, limited by a low sensitive PCT test kit. OBJECTIVE To investigate the diagnostic value of PCT in patients with septic and non-septic arthritis using a novel test with low detection limit. METHODS Forty-...

متن کامل

جستجوی آنتی ژن پلی ساکاریدی استر پتوکک گروه آ در مایع مفصلی بیماران مبتلا به آرتریت

 Background: Diagnosing the etiologic causes for septic arthritis is very important. The main goal of study was to determine the group A streptococcal polysaccharide antigens in synovial fluid of patients with arthritis. Methods: A cross sectional study was performed upon 52 cases with acute mono arthritis in Hazrat-e-Rasool hospital in Tehran Iran (2010-2012). Techniques used were: Gr...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 6  شماره 

صفحات  -

تاریخ انتشار 2012