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Clinical and epidemiological characteristics of septic arthritis of the hip, 2006 to 2012, a seven-year review

OBJECTIVE: To epidemiologically characterize the population treated at our orthopedic clinic with a diagnosis of septic arthritic of the hip between 2006 and 2012. METHODS: Fifteen patients diagnosed with septic arthritis of the hip between 2006 and 2012 were retrospectively evaluated. The patients&...

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Autores principales: de Souza Miyahara, Helder, Helito, Camilo Partezani, Oliva, Guilherme Batista, Aita, Paulo César, Croci, Alberto Tesconi, Vicente, José Ricardo Negreiros
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081884/
https://www.ncbi.nlm.nih.gov/pubmed/25029577
http://dx.doi.org/10.6061/clinics/2014(07)04
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author de Souza Miyahara, Helder
Helito, Camilo Partezani
Oliva, Guilherme Batista
Aita, Paulo César
Croci, Alberto Tesconi
Vicente, José Ricardo Negreiros
author_facet de Souza Miyahara, Helder
Helito, Camilo Partezani
Oliva, Guilherme Batista
Aita, Paulo César
Croci, Alberto Tesconi
Vicente, José Ricardo Negreiros
author_sort de Souza Miyahara, Helder
collection PubMed
description OBJECTIVE: To epidemiologically characterize the population treated at our orthopedic clinic with a diagnosis of septic arthritic of the hip between 2006 and 2012. METHODS: Fifteen patients diagnosed with septic arthritis of the hip between 2006 and 2012 were retrospectively evaluated. The patients' clinical and epidemiological characteristics were surveyed; a sensitivity profile relating to the microorganisms that caused the infections and the complications relating to the patients' treatment and evolution were identified. RESULTS: Septic arthritis was more common among males. Most diagnoses were made through positive synovial fluid cultures, after joint drainage was performed using the Smith-Petersen route. Among the comorbidities found, the most prevalent were systemic arterial hypertension, diabetes mellitus, and human immunodeficiency virus. The pathological joint conditions diagnosed prior to joint infection were osteoarthrosis and developmental dysplasia of the hip. The infectious agent most frequently isolated was Staphylococcus aureus. From the clinical and laboratory data investigated, 53.33% of the cases presented with fever, and all except one patient presented with increased measures in inflammation tests. Gram staining was positive in only 26.66% of the synovial fluid samples analyzed. Six patients presented with joint complications after treatment was administered. CONCLUSION: S. aureus is the most common pathogen in acute infections of the hip in our setting. Factors such as clinical comorbidities are associated with septic arthritis of the hip. Because of the relatively small number of patients, given that this is a condition of low prevalence, there was no statistically significant correlation in relation to worse prognosis for the disease.
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spelling pubmed-40818842014-07-11 Clinical and epidemiological characteristics of septic arthritis of the hip, 2006 to 2012, a seven-year review de Souza Miyahara, Helder Helito, Camilo Partezani Oliva, Guilherme Batista Aita, Paulo César Croci, Alberto Tesconi Vicente, José Ricardo Negreiros Clinics (Sao Paulo) Clinical Science OBJECTIVE: To epidemiologically characterize the population treated at our orthopedic clinic with a diagnosis of septic arthritic of the hip between 2006 and 2012. METHODS: Fifteen patients diagnosed with septic arthritis of the hip between 2006 and 2012 were retrospectively evaluated. The patients' clinical and epidemiological characteristics were surveyed; a sensitivity profile relating to the microorganisms that caused the infections and the complications relating to the patients' treatment and evolution were identified. RESULTS: Septic arthritis was more common among males. Most diagnoses were made through positive synovial fluid cultures, after joint drainage was performed using the Smith-Petersen route. Among the comorbidities found, the most prevalent were systemic arterial hypertension, diabetes mellitus, and human immunodeficiency virus. The pathological joint conditions diagnosed prior to joint infection were osteoarthrosis and developmental dysplasia of the hip. The infectious agent most frequently isolated was Staphylococcus aureus. From the clinical and laboratory data investigated, 53.33% of the cases presented with fever, and all except one patient presented with increased measures in inflammation tests. Gram staining was positive in only 26.66% of the synovial fluid samples analyzed. Six patients presented with joint complications after treatment was administered. CONCLUSION: S. aureus is the most common pathogen in acute infections of the hip in our setting. Factors such as clinical comorbidities are associated with septic arthritis of the hip. Because of the relatively small number of patients, given that this is a condition of low prevalence, there was no statistically significant correlation in relation to worse prognosis for the disease. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2014-07 /pmc/articles/PMC4081884/ /pubmed/25029577 http://dx.doi.org/10.6061/clinics/2014(07)04 Text en Copyright © 2014 Hospital das Clínicas da FMUSP http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Science
de Souza Miyahara, Helder
Helito, Camilo Partezani
Oliva, Guilherme Batista
Aita, Paulo César
Croci, Alberto Tesconi
Vicente, José Ricardo Negreiros
Clinical and epidemiological characteristics of septic arthritis of the hip, 2006 to 2012, a seven-year review
title Clinical and epidemiological characteristics of septic arthritis of the hip, 2006 to 2012, a seven-year review
title_full Clinical and epidemiological characteristics of septic arthritis of the hip, 2006 to 2012, a seven-year review
title_fullStr Clinical and epidemiological characteristics of septic arthritis of the hip, 2006 to 2012, a seven-year review
title_full_unstemmed Clinical and epidemiological characteristics of septic arthritis of the hip, 2006 to 2012, a seven-year review
title_short Clinical and epidemiological characteristics of septic arthritis of the hip, 2006 to 2012, a seven-year review
title_sort clinical and epidemiological characteristics of septic arthritis of the hip, 2006 to 2012, a seven-year review
topic Clinical Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4081884/
https://www.ncbi.nlm.nih.gov/pubmed/25029577
http://dx.doi.org/10.6061/clinics/2014(07)04
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