Native Joint Septic Arthritis

被引:7
作者
Wu, Kevin A. [1 ]
Kugelman, David N. [1 ]
Seidelman, Jessica L. [2 ]
Seyler, Thorsten M. [1 ]
机构
[1] Duke Univ, Sch Med, Dept Orthopaed Surg, Durham, NC 27701 USA
[2] Duke Univ, Sch Med, Div Infect Dis, Durham, NC 27710 USA
来源
ANTIBIOTICS-BASEL | 2024年 / 13卷 / 07期
关键词
septic arthritis; joint infection; antibiotic therapy; arthroscopic debridement; open surgical debridement; anterior cruciate ligament (ACL) reconstruction; rheumatoid arthritis; diagnosis; microbiology; STAPHYLOCOCCUS-AUREUS; SYNOVIAL-FLUID; MANAGEMENT; DIAGNOSIS; INFECTION; ARTHROPLASTY; CHILDREN; PATIENT; CRP;
D O I
10.3390/antibiotics13070596
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Native joint septic arthritis (NJSA) is a severe and rapidly progressing joint infection, predominantly bacterial but also potentially fungal or viral, characterized by synovial membrane inflammation and joint damage, necessitating urgent and multidisciplinary management to prevent permanent joint damage and systemic sepsis. Common in large joints like knees, hips, shoulders, and elbows, NJSA's incidence is elevated in individuals with conditions like rheumatoid arthritis, diabetes, immunosuppression, joint replacement history, or intravenous drug use. This review provides a comprehensive overview of NJSA, encompassing its diagnosis, treatment, antibiotic therapy duration, and surgical interventions, as well as the comparison between arthroscopic and open debridement approaches. Additionally, it explores the unique challenges of managing NJSA in patients who have undergone graft anterior cruciate ligament (ACL) reconstruction. The epidemiology, risk factors, pathogenesis, microbiology, clinical manifestations, diagnosis, differential diagnosis, antibiotic treatment, surgical intervention, prevention, and prophylaxis of NJSA are discussed, highlighting the need for prompt diagnosis, aggressive treatment, and ongoing research to enhance patient outcomes.
引用
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页数:14
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