Caracterización clínico - epidemiológica de pacientes con artritis séptica. Año 2013. Instituto Traumatológico de Chile. Clinical - epidemiological characteristics of patients with septic arthritis. Year 2013 Instituto Traumatologico of Chile.
Journal Title: Revista ANACEM - Year 2015, Vol 8, Issue 1
Abstract
INTRODUCTION: Septic arthritis (SA) is the inflammatory reaction of an articular surface by the presence of microorganisms. It can cause joint destruction and rapid functional loss. Clinical manifestations of septic arthritis should be considered a medical emergency, therefore proper diagnosis and management is mandatory. OBJECTIVES: To characterize clinically and epidemiologically adult patients with SA from Instituto Traumatologico de Santiago de Chile (IT) and to describe its treatment. MATERIALS AND METHODS: A retrospective, cross- sectional, descriptive study analyzing electronic health records of patients over 15 years old, with diagnosis of SA, attended in the ER of the IT during 2013 (n=28). Data were tabulated in an Excel2010 spreadsheet. RESULTS: 68% of patients were males. Average age was 54 years. An average of 2 surgical toilettes was performed per patient. The mean impatient stay was 17 days. Major comorbidities were hypertension (29%) and diabetes mellitus type 2 (21%). The main symptoms were pain (93%) and swelling (82%). The most common location was the knee (53,6%). Most common etiology was Staphyloccocus aureus (60%). The laboratory abnormalities were high ESR (90%), elevated CRP (80%) and leukocytosis (45%). The most used empiric antibiotic therapy was the triassociated scheme of cloxacillin, gentamicin and sodium penicillin (60%). Most indicated outpatient antibiotic was cloxacillin (60%). DISCUSSION: We emphasize the importance of early diagnosis and treatment of SA, having direct consequences in complications and prognosis if not made quickly. Both clinical and epidemiological findings of our study were comparable to those found in national and international literature. KEY WORDS: Infection, Joints, Septic Arthritis
Authors and Affiliations
Ismael Erazo A.
Keywords
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