The management of septic arthritis in children SYSTEMATIC REVIEW OF THE ENGLISH LANGUAGE LITERATURE

被引：90
作者：
Kang, S. -N. [1 ]
Sanghera, T. [1 ]
Mangwani, J. [1 ]
Paterson, J. M. H. [1 ]
Ramachandran, M. [1 ]
机构：
[1] Royal London Hosp, Dept Trauma & Orthopaed, Barts & London NHS Trust, London E1 1BB, England
来源：
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2009年 / 91B卷 / 09期
关键词：
ACUTE HEMATOGENOUS OSTEOMYELITIS; TRANSIENT SYNOVITIS; OSTEOARTICULAR INFECTIONS; SUPPURATIVE ARTHRITIS; PYOGENIC ARTHRITIS; MALAWIAN CHILDREN; LABORATORY TESTS; SEVERE SEQUELAE; HIP-JOINT; CHILDHOOD;
D O I：
10.1302/0301-620X.91B9.22530
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
We performed a systematic review of the optimal management of septic arthritis in children as recommended in the current English literature using MEDLINE, EMBASE, CINAHL, the Cochrane Library and reference lists of retrieved articles without date restrictions up to 31 January 2009. From 2236 citations, 227 relevant full-text articles were screened in detail; 154 papers fulfilled the inclusion criteria, from which conclusions were drawn on the management of infected joints in children. Our review showed that no single investigation, including joint aspiration, is sufficiently reliable to diagnose conclusively joint infection. The roles of aspiration, arthrotomy and arthroscopy in treatment are not clear cut, and the ideal duration of antibiotic therapy is not yet fully defined. These issues are discussed. Further large-scale, multi-centre studies are needed to delineate the optimal management of paediatric septic arthritis.
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页码：1127 / 1133
页数：7
相关论文
共 83 条
[81]   The role of ultrasound in differentiating septic arthritis from transient synovitis of the hip in children [J].
Zamzam, Mohamed Medhat .
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2006, 15 (06) :418-422
[82]   JOINT EFFUSION IN CHILDREN WITH AN IRRITABLE HIP - US DIAGNOSIS AND ASPIRATION [J].
ZAWIN, JK ;
HOFFER, FA ;
RAND, FF ;
TEELE, RL .
RADIOLOGY, 1993, 187 (02) :459-463
[83]  
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