Epidemiology of septic arthritis of the knee at Hospital das Clínicas, Universidade de São Paulo
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Infectious Diseases |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000100028 |
Resumo: | Background:Septic arthritis is an infrequent disease although very important due to the possibility of disastrous outcomes if treatment is not adequately established. Adequate information concerning the epidemiology of septic arthritis is still lacking due to the uncommon nature of the disease as well as the struggle to establish a correct case-definition.Objective:To epidemiologically characterize the population seen at Hospital das Clínicas, University of São Paulo with a diagnosis of septic arthritis between 2006 and 2011.Methods:Sixty-one patients diagnosed with septic arthritis of the knee between 2006 and 2011 were retrospectively evaluated. The patients' clinical and epidemiological characteristics, the microorganisms that caused the infection and the patients' treatment and evolution were analyzed.Results:Septic arthritis of the knee was more common among men, with distribution across a variety of age ranges. Most diagnoses were made through positive synovial fluid cultures. The most prevalent clinical comorbidities were systemic arterial hypertension and diabetes mellitus, and the most commonly reported joint disease was osteoarthritis. Staphylococcus aureus was the prevailing pathogen. Fever was present in 36% of the cases. All patients presented elevation in inflammatory tests. Gram staining was positive in only 50.8% of the synovial fluid samples analyzed. Six patients presented complications and unfavorable evolution of their condition.Conclusion:S. aureus is still the most common pathogen in acute knee infections in our environment. Gram staining, absence of fever and normal leukocyte count cannot be used to rule out septic arthritis. |
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Epidemiology of septic arthritis of the knee at Hospital das Clínicas, Universidade de São PauloKneeInfectionSeptic arthritisEpidemiologyBackground:Septic arthritis is an infrequent disease although very important due to the possibility of disastrous outcomes if treatment is not adequately established. Adequate information concerning the epidemiology of septic arthritis is still lacking due to the uncommon nature of the disease as well as the struggle to establish a correct case-definition.Objective:To epidemiologically characterize the population seen at Hospital das Clínicas, University of São Paulo with a diagnosis of septic arthritis between 2006 and 2011.Methods:Sixty-one patients diagnosed with septic arthritis of the knee between 2006 and 2011 were retrospectively evaluated. The patients' clinical and epidemiological characteristics, the microorganisms that caused the infection and the patients' treatment and evolution were analyzed.Results:Septic arthritis of the knee was more common among men, with distribution across a variety of age ranges. Most diagnoses were made through positive synovial fluid cultures. The most prevalent clinical comorbidities were systemic arterial hypertension and diabetes mellitus, and the most commonly reported joint disease was osteoarthritis. Staphylococcus aureus was the prevailing pathogen. Fever was present in 36% of the cases. All patients presented elevation in inflammatory tests. Gram staining was positive in only 50.8% of the synovial fluid samples analyzed. Six patients presented complications and unfavorable evolution of their condition.Conclusion:S. aureus is still the most common pathogen in acute knee infections in our environment. Gram staining, absence of fever and normal leukocyte count cannot be used to rule out septic arthritis.Brazilian Society of Infectious Diseases2014-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000100028Brazilian Journal of Infectious Diseases v.18 n.1 2014reponame:Brazilian Journal of Infectious Diseasesinstname:Brazilian Society of Infectious Diseases (BSID)instacron:BSID10.1016/j.bjid.2013.04.010info:eu-repo/semantics/openAccessHelito,Camilo PartezaniNoffs,Guilherme GuelfiPecora,Jose RicardoGobbi,Riccardo GomesTirico,Luis Eduardo PassarelliLima,Ana Lucia Munhozde Oliveira,Priscila RosalbaCamanho,Gilberto Luiseng2015-08-28T00:00:00Zoai:scielo:S1413-86702014000100028Revistahttps://www.bjid.org.br/https://old.scielo.br/oai/scielo-oai.phpbjid@bjid.org.br||lgoldani@ufrgs.br1678-43911413-8670opendoar:2015-08-28T00:00Brazilian Journal of Infectious Diseases - Brazilian Society of Infectious Diseases (BSID)false |
dc.title.none.fl_str_mv |
Epidemiology of septic arthritis of the knee at Hospital das Clínicas, Universidade de São Paulo |
title |
Epidemiology of septic arthritis of the knee at Hospital das Clínicas, Universidade de São Paulo |
spellingShingle |
Epidemiology of septic arthritis of the knee at Hospital das Clínicas, Universidade de São Paulo Helito,Camilo Partezani Knee Infection Septic arthritis Epidemiology |
title_short |
Epidemiology of septic arthritis of the knee at Hospital das Clínicas, Universidade de São Paulo |
title_full |
Epidemiology of septic arthritis of the knee at Hospital das Clínicas, Universidade de São Paulo |
title_fullStr |
Epidemiology of septic arthritis of the knee at Hospital das Clínicas, Universidade de São Paulo |
title_full_unstemmed |
Epidemiology of septic arthritis of the knee at Hospital das Clínicas, Universidade de São Paulo |
title_sort |
Epidemiology of septic arthritis of the knee at Hospital das Clínicas, Universidade de São Paulo |
author |
Helito,Camilo Partezani |
author_facet |
Helito,Camilo Partezani Noffs,Guilherme Guelfi Pecora,Jose Ricardo Gobbi,Riccardo Gomes Tirico,Luis Eduardo Passarelli Lima,Ana Lucia Munhoz de Oliveira,Priscila Rosalba Camanho,Gilberto Luis |
author_role |
author |
author2 |
Noffs,Guilherme Guelfi Pecora,Jose Ricardo Gobbi,Riccardo Gomes Tirico,Luis Eduardo Passarelli Lima,Ana Lucia Munhoz de Oliveira,Priscila Rosalba Camanho,Gilberto Luis |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Helito,Camilo Partezani Noffs,Guilherme Guelfi Pecora,Jose Ricardo Gobbi,Riccardo Gomes Tirico,Luis Eduardo Passarelli Lima,Ana Lucia Munhoz de Oliveira,Priscila Rosalba Camanho,Gilberto Luis |
dc.subject.por.fl_str_mv |
Knee Infection Septic arthritis Epidemiology |
topic |
Knee Infection Septic arthritis Epidemiology |
description |
Background:Septic arthritis is an infrequent disease although very important due to the possibility of disastrous outcomes if treatment is not adequately established. Adequate information concerning the epidemiology of septic arthritis is still lacking due to the uncommon nature of the disease as well as the struggle to establish a correct case-definition.Objective:To epidemiologically characterize the population seen at Hospital das Clínicas, University of São Paulo with a diagnosis of septic arthritis between 2006 and 2011.Methods:Sixty-one patients diagnosed with septic arthritis of the knee between 2006 and 2011 were retrospectively evaluated. The patients' clinical and epidemiological characteristics, the microorganisms that caused the infection and the patients' treatment and evolution were analyzed.Results:Septic arthritis of the knee was more common among men, with distribution across a variety of age ranges. Most diagnoses were made through positive synovial fluid cultures. The most prevalent clinical comorbidities were systemic arterial hypertension and diabetes mellitus, and the most commonly reported joint disease was osteoarthritis. Staphylococcus aureus was the prevailing pathogen. Fever was present in 36% of the cases. All patients presented elevation in inflammatory tests. Gram staining was positive in only 50.8% of the synovial fluid samples analyzed. Six patients presented complications and unfavorable evolution of their condition.Conclusion:S. aureus is still the most common pathogen in acute knee infections in our environment. Gram staining, absence of fever and normal leukocyte count cannot be used to rule out septic arthritis. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000100028 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000100028 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjid.2013.04.010 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Brazilian Society of Infectious Diseases |
publisher.none.fl_str_mv |
Brazilian Society of Infectious Diseases |
dc.source.none.fl_str_mv |
Brazilian Journal of Infectious Diseases v.18 n.1 2014 reponame:Brazilian Journal of Infectious Diseases instname:Brazilian Society of Infectious Diseases (BSID) instacron:BSID |
instname_str |
Brazilian Society of Infectious Diseases (BSID) |
instacron_str |
BSID |
institution |
BSID |
reponame_str |
Brazilian Journal of Infectious Diseases |
collection |
Brazilian Journal of Infectious Diseases |
repository.name.fl_str_mv |
Brazilian Journal of Infectious Diseases - Brazilian Society of Infectious Diseases (BSID) |
repository.mail.fl_str_mv |
bjid@bjid.org.br||lgoldani@ufrgs.br |
_version_ |
1754209242809630720 |