Evaluation of current treatment regimens for prepatellar and olecranon bursitis in Switzerland

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
S F BaumbachI Uçkay

Abstract

Bursitis is a common entity. However, evidence for the best treatment procedures is lacking, with management concepts varying internationally. We evaluated current treatment regimens for septic (SB) and nonseptic (NSB) prepatellar (PB) and (OB) olecranon bursitis in Switzerland and compared them to the published literature. A voluntary 23-item online survey was distributed amongst all registered Swiss infectiologists and orthopedic surgeons in December 2011. The literature comparison was based on a systematic literature review. Overall response rate was 14 % (n = 117); 11 % (n = 92) were included in the final analysis. The overwhelming majority (91 %) of the respondents differentiated between SB and NSB, with determination predominantly based on clinical presentation (83 %), blood chemistry (75 %), and bursal aspirate (66 %). NSB was predominantly treated conservatively via immobilization (78 %) and anti-inflammatory medication (73 %). For SB, 85 % indicated surgical intervention, with 73 % prescribing concomitant antibiotics. Regarding antibiotic choice, 90 % used an aminopenicillin or its derivatives for a mean of 11 ± 5 days. The literature review revealed 66 relevant publications with an overall level of evidence of 2b, arg...Continue Reading

Associated Clinical Trials

Aug 1, 2011·Ilker UckayIlker Uckay

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Citations

Dec 7, 2013·Archives of Orthopaedic and Trauma Surgery·Sebastian F BaumbachKarl-Georg Kanz
Apr 27, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H WyenUNKNOWN ChirNet Studiengruppe
Mar 16, 2021·Archives of Orthopaedic and Trauma Surgery·Oliver S BrownC B Hing
Oct 17, 2019·Joint, Bone, Spine : Revue Du Rhumatisme·Christian LormeauLuca Semerano
Jul 23, 2021·The Journal of Antimicrobial Chemotherapy·Laurie CharretChristelle Darrieutort-Laffite

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