Acute infectious arthritis. A review of patients with nongonococcal joint infections (with emphasis on therapy and prognosis)

Am J Med. 1976 Mar;60(3):369-77. doi: 10.1016/0002-9343(76)90753-1.

Abstract

The clinical course of 59 patients with acute nongonococcal septic arthritis has been reviewed with special emphasis on the changing bacterial spectrum in recent years. The results of treatment were dependent on various factors, including the specific microbial agent and host defenses. Treatment should include parenteral antibiotics and drainage with needle aspiration, except in hips which should be surgically drained. Successful therapy requires rapid initiation of treatment and ongoing assessment of adequacy of response.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acute Disease
  • Adolescent
  • Adrenal Cortex Hormones / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Arthritis, Infectious / diagnosis
  • Arthritis, Infectious / etiology*
  • Arthritis, Infectious / therapy
  • Bacterial Infections / complications*
  • Child
  • Child, Preschool
  • Drainage
  • Escherichia coli Infections / complications
  • Haemophilus Infections / complications
  • Humans
  • Prognosis
  • Proteus Infections / complications
  • Staphylococcal Infections / complications
  • Streptococcal Infections / complications
  • Synovial Fluid / microbiology

Substances

  • Adrenal Cortex Hormones
  • Anti-Bacterial Agents