E-ISSN: 2147-2688
Epidemiology, Diagnosis and Treatment of Acute Septic Arthritis in Haseki Orthopedics and Traumatology Clinic
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Original Article
VOLUME: 58 ISSUE: 1
P: 21-26
January 2020

Epidemiology, Diagnosis and Treatment of Acute Septic Arthritis in Haseki Orthopedics and Traumatology Clinic

Med Bull Haseki 2020;58(1):21-26
DOI: 10.4274/haseki.galenos.2019.5279
Cem Yıldırım 1
Duran Can Muslu 1
Osman Görkem Muratoğlu 2
Samed Ordu 3
Özlem Altuntaş Aydın 4
Erhan Bayram 1
1. Sağlık Bilimleri Üniversitesi, Haseki Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye
2. Düzce Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği, Düzce, Türkiye
3. Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, İstanbul, Türkiye
4. Özel Batman Dünya Hastanesi, Ortopedi ve Travmatoloji Kliniği, Batman, Türkiye
No information available.
No information available
Received Date: 10.05.2019
Accepted Date: 29.07.2019
Publish Date: 18.02.2020
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ABSTRACT

Aim:

Septic arthritis may represent a direct invasion of joint space by various microorganisms. The aim of this study was to determine the epidemiological characteristics of patients with septic arthritis in our clinic and to discuss the diagnosis, treatment and management.

Methods:

Thirty-four patients diagnosed with septic arthritis between June 2008 and December 2014 were retrospectively evaluated. Clinical and epidemiological characteristics of the patients, microorganisms causing infection and treatment choice were analyzed.

Results:

Most patients were male (55.9%) and the mean age of the patients was 42.8 (1-87) years. The knee was the most often affected joint (91.6%). Fever was present in only 17.6% of the cases. Gram staining was positive in only 17.6% of the synovial fluid samples analyzed. Among the 34 patients studied, 10 had positive synovial fluid culture (29.4%). Staphylococcus aureus was the most common pathogen.

Conclusion:

Gram negative staining, absence of fever and normal leukocyte count do not rule out septic arthritis but only reduce the possibility.

Samples should be taken prior to antibiotic treatment to avoid false negative detection of positive samples. Serial needle aspiration, drainage and empirical antibiotherapy should be kept in mind in the treatment of septic arthritis.

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