PMID: 15237115Jul 9, 2004Paper

Changing epidemiology of neonatal septic arthritis

Journal of Orthopaedic Surgery
S S DeshpandeM Singrakhia

Abstract

To study the changing epidemiological pattern of micro-organisms as an aetiology of septic arthritis, and to correlate the pattern with the outcome of neonatal septic arthritis, in terms of joint function and morphology. 15 consecutive cases of neonatal septic arthritis of hip admitted between 1999 and 2002 were studied. Diagnosis of septic arthritis was made on the basis of Morrey's criteria. All patients were treated by arthrotomy after aspiration of purulent fluid from the joint. Patients were followed up for a mean period of 2.4 years. Clinical and radiological examinations were performed at follow-up. The mean age of the 15 patients was 20.35 days. 13 (87%) patients had primary septic arthritis, while only 2 (13%) had associated osteomyelitis. Culture reports revealed that the spectrum consisted of 33% gram-negative organisms, 7% fungal, and only 20% gram-positive organisms-Staphylococcus aureus in 3 patients, Klebsiella in 2 patients, one each of Proteus, Candida, Escherichia coli, and Enterobactor. Six patients were pus-cell positive with negative culture. No organism was found in 6 (40%) cases. Investigations showed leukocytosis, raised C-reactive protein and erythrocyte sedimentation rate in all 15 patients. 12 patient...Continue Reading

References

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Citations

Jul 2, 2009·Journal of Pediatric Orthopedics·Nikolas Alan JagodzinskiChristopher Edward Bache
May 8, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·T SreenivasJagdish Menon
Sep 14, 2016·The Pediatric Infectious Disease Journal·Alexa DierigUlrich Heininger
Feb 11, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Gireesh SankaranSulaikha Puthan Purayil
Jul 25, 2018·Acta ortopedica brasileira·Frederico Carlos JañaEllen DE Oliveira Goiano
Aug 7, 2012·Pediatric Emergency Care·Maddalena PerottiRoberto Bandettini
Feb 10, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Wudbhav N SankarDavid L Skaggs
Nov 26, 2008·Journal of Chemotherapy·A DessìV Fanos
Apr 26, 2021·Rheumatology and Therapy·Johannes C NossentCharles A Inderjeeth

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