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Titolo:
Culture-negative septic arthritis in children
Autore:
Lyon, RM; Evanich, JD;
Indirizzi:
Med Coll Wisconsin, Milwaukee, WI 53226 USA Med Coll Wisconsin Milwaukee WI USA 53226 consin, Milwaukee, WI 53226 USA
Titolo Testata:
JOURNAL OF PEDIATRIC ORTHOPAEDICS
fascicolo: 5, volume: 19, anno: 1999,
pagine: 655 - 659
SICI:
0271-6798(199909/10)19:5<655:CSAIC>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
KINGELLA-KINGAE; JOINT INFECTIONS; HIP; CHILDHOOD; INFANCY; BONE;
Keywords:
children; culture; infection; septic arthritis; treatment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Lyon, RM Med Coll Wisconsin, MACC Res Bldg,Suite 3018,8701 Watertown PlankRd, Milwaukee, WI 53226 USA Med Coll Wisconsin MACC Res Bldg,Suite 3018,8701 Watertown Plank Rd Milwaukee WI USA 53226
Citazione:
R.M. Lyon e J.D. Evanich, "Culture-negative septic arthritis in children", J PED ORTH, 19(5), 1999, pp. 655-659

Abstract

To compare the incidence, characteristics, treatment course, and clinical outcome of children with culture-negative versus culture-positive septic arthritis, we reviewed all 105 children treated for septic arthritis at our institution from 1990 to 1997. Seventy-six children had a clinical presentation consistent with an isolated joint infection. All underwent a joint aspiration with fluid analysis including culture. All were followed up until resolution of their symptoms. Culture of the synovial aspirates identified anetiologic organism in only 30% of cases. No significant differences existed between the culture-positive and culture-negative groups in most clinicaland laboratory criteria. No other diagnoses were demonstrated. All patients underwent joint drainage, received comparable antibiotic therapy, and hadcomplete resolution of their infections. The current literature reports deceptively low rates of 18-48% for culture-negative septic arthritis. Seventy percent of children with clinical findings of septic arthritis had negative synovial fluid cultures. As the two culture groups were comparable and no other diagnoses were demonstrated, the culture-negative cases were likelyinfections. Thus we recommend the same aggressive treatment in those caseswith and without identification of a causative organism.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 11:34:35