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Open AccessJournal ArticleDOI

Septic arthritis in infants and children: a review of 117 cases

John D. Nelson, +1 more
- 01 Dec 1966 - 
- Vol. 38, Iss: 6, pp 966-971
TLDR
Suggestions are made for increasing the frequency of bacteriologic diagnoses and for initiating the antibiotic therapy of patients with septic arthritis based upon age groups and observations of bacterial stains of joint fluid.
Abstract
A review of 117 cases of septic arthritis in infants and children revealed that the concept of staphylococci and streptococci as the major etiologic organisms should be modified to stress the frequency of Hemophilus influenzae in the 6-month to 2-year age bracket and to emphasize the variety of bacteria that must be anticipated in individual cases. Suggestions are made for increasing the frequency of bacteriologic diagnoses and for initiating the antibiotic therapy of patients with septic arthritis based upon age groups and observations of bacterial stains of joint fluid.

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High prevalence of Kingella kingae in joint fluid from children with septic arthritis revealed by the BACTEC blood culture system.

TL;DR: The BACTEC blood culture system enhances the recovery of K. kingae from joint fluid and improves bacteriologic diagnosis of pediatric septic arthritis.
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Oral antibiotic therapy for skeletal infections of children. II. Therapy of osteomyelitis and suppurative arthritis.

TL;DR: Oral therapy provides increased patient comfort and decreases the risk of nosocomial infection associated with prolonged intravenous therapy and should be carried out only under carefully monitored conditions in hospital to assure compliance and adequacy of serum bactericidal activity.
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