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
References
Nov 17, 1978·JAMA : the Journal of the American Medical Association·G R ThompsonJ J Weiss
Jul 1, 1978·Annals of Internal Medicine·G HoS R Kaplan
Nov 1, 1989·Archives of Internal Medicine·D L SmithD M Romney
Jan 1, 1986·Scandinavian Journal of Infectious Diseases·B Söderquist, S A Hedström
Feb 1, 1984·Annals of the Rheumatic Diseases·P S WeinsteinJ R Wohlgethan
Jul 1, 1981·Arthritis and Rheumatism·G Ho, E Y Su
Jun 1, 1995·Seminars in Arthritis and Rheumatism·B ZimmermannG Ho
Sep 1, 1996·Journal of Accident & Emergency Medicine·I M Stell
Sep 1, 1996·Zeitschrift für Orthopädie und ihre Grenzgebiete·O LembckeA Rüter
Feb 29, 2000·Journal of the Royal Society of Medicine·I M Stell
Jun 16, 2001·Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera·P NussbaumerA Hollinger
Aug 7, 2008·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H-G DamertW Schneider
Jul 7, 2009·Joint, Bone, Spine : Revue Du Rhumatisme·Victor Manuel Martinez-TaboadaVicente Rodriguez-Valverde
Mar 1, 2000·The Physician and Sportsmedicine·E G McFarlandA J Cosgarea
Mar 4, 2010·The Journal of Antimicrobial Chemotherapy·Cédric PerezIlker Uçkay
Jun 4, 2010·International Orthopaedics·Yu-Chih Huang, Wen-Lin Yeh
May 26, 2011·The Journal of Trauma·Ben L ZarzaurRaul Coimbra
Dec 14, 2011·Injury·Hendrik WyenIngo Marzi
Nov 1, 1989·The Physician and Sportsmedicine·P McCarthy
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