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Bacterial arthritis

MedGen UID:
308434
•Concept ID:
C1692886
•
Disease or Syndrome
Synonyms: Arthritides, Bacterial; Arthritis, Bacterial; Arthritis, Septic; Bacterial Arthritides; Bacterial Arthritis; Septic Arthritis
SNOMED CT: Arthritis due to bacterial infection (48245008); Bacterial arthritis (48245008); Septic arthritis (48245008)
 
Monarch Initiative: MONDO:0004471

Definition

The inflammation of one or more joints caused by a bacterial infection within the joint space. Symptoms include pain, stiffness, and decreased range of motion in the affected joint. [from NCI]

Professional guidelines

PubMed

SPILF update on bacterial arthritis in adults and children.
Stahl JP, Canouï E, Pavese P, Bleibtreu A, Dubée V, Ferry T, Gillet Y, Lemaignen A, Lorrot M, Lourtet-Hascoët J, Manaquin R, Meyssonnier V, Pham TT, Varon E, Lesprit P, Gauzit R; reviewers
Infect Dis Now 2023 Jun;53(4):104694. Epub 2023 Mar 21 doi: 10.1016/j.idnow.2023.104694. PMID: 36948248
Peripheral Bacterial Septic Arthritis: Review of Diagnosis and Management.
Hassan AS, Rao A, Manadan AM, Block JA
J Clin Rheumatol 2017 Dec;23(8):435-442. doi: 10.1097/RHU.0000000000000588. PMID: 28926460
Clinical aspects, outcome assessment, and management of ankylosing spondylitis and postenteric reactive arthritis.
van der Linden S, van der Heijde D
Curr Opin Rheumatol 2000 Jul;12(4):263-8. doi: 10.1097/00002281-200007000-00005. PMID: 10910177

Recent clinical studies

Etiology

Two weeks versus four weeks of antibiotic therapy after surgical drainage for native joint bacterial arthritis: a prospective, randomised, non-inferiority trial.
Gjika E, Beaulieu JY, Vakalopoulos K, Gauthier M, Bouvet C, Gonzalez A, Morello V, Steiger C, Hirsiger S, Lipsky BA, Uçkay I
Ann Rheum Dis 2019 Aug;78(8):1114-1121. Epub 2019 Apr 16 doi: 10.1136/annrheumdis-2019-215116. PMID: 30992295Free PMC Article
Approach to septic arthritis.
Horowitz DL, Katzap E, Horowitz S, Barilla-LaBarca ML
Am Fam Physician 2011 Sep 15;84(6):653-60. PMID: 21916390
Does this adult patient have septic arthritis?
Margaretten ME, Kohlwes J, Moore D, Bent S
JAMA 2007 Apr 4;297(13):1478-88. doi: 10.1001/jama.297.13.1478. PMID: 17405973
Bacterial arthritis.
Ho G Jr
Curr Opin Rheumatol 2001 Jul;13(4):310-4. doi: 10.1097/00002281-200107000-00012. PMID: 11555734
Bacterial arthritis.
Ho G Jr
Curr Opin Rheumatol 1991 Aug;3(4):603-9. doi: 10.1097/00002281-199108000-00009. PMID: 1911055

Diagnosis

Peripheral Bacterial Septic Arthritis: Review of Diagnosis and Management.
Hassan AS, Rao A, Manadan AM, Block JA
J Clin Rheumatol 2017 Dec;23(8):435-442. doi: 10.1097/RHU.0000000000000588. PMID: 28926460
Septic Arthritis of Native Joints.
Ross JJ
Infect Dis Clin North Am 2017 Jun;31(2):203-218. Epub 2017 Mar 30 doi: 10.1016/j.idc.2017.01.001. PMID: 28366221
Approach to septic arthritis.
Horowitz DL, Katzap E, Horowitz S, Barilla-LaBarca ML
Am Fam Physician 2011 Sep 15;84(6):653-60. PMID: 21916390
Does this adult patient have septic arthritis?
Margaretten ME, Kohlwes J, Moore D, Bent S
JAMA 2007 Apr 4;297(13):1478-88. doi: 10.1001/jama.297.13.1478. PMID: 17405973
Bacterial arthritis.
Ho G Jr
Curr Opin Rheumatol 2001 Jul;13(4):310-4. doi: 10.1097/00002281-200107000-00012. PMID: 11555734

Therapy

Infectious mimics of rheumatoid arthritis.
Sharma V, Sharma A
Best Pract Res Clin Rheumatol 2022 Mar;36(1):101736. Epub 2021 Dec 31 doi: 10.1016/j.berh.2021.101736. PMID: 34974970
Two weeks versus four weeks of antibiotic therapy after surgical drainage for native joint bacterial arthritis: a prospective, randomised, non-inferiority trial.
Gjika E, Beaulieu JY, Vakalopoulos K, Gauthier M, Bouvet C, Gonzalez A, Morello V, Steiger C, Hirsiger S, Lipsky BA, Uçkay I
Ann Rheum Dis 2019 Aug;78(8):1114-1121. Epub 2019 Apr 16 doi: 10.1136/annrheumdis-2019-215116. PMID: 30992295Free PMC Article
Septic Arthritis of Native Joints.
Ross JJ
Infect Dis Clin North Am 2017 Jun;31(2):203-218. Epub 2017 Mar 30 doi: 10.1016/j.idc.2017.01.001. PMID: 28366221
Osteoarticular Infections in Children.
Arnold JC, Bradley JS
Infect Dis Clin North Am 2015 Sep;29(3):557-74. doi: 10.1016/j.idc.2015.05.012. PMID: 26311358
Approach to septic arthritis.
Horowitz DL, Katzap E, Horowitz S, Barilla-LaBarca ML
Am Fam Physician 2011 Sep 15;84(6):653-60. PMID: 21916390

Prognosis

Review of Pediatric Osteoarticular Infections.
Zhorne D, Bradford KK, Jhaveri R
Rev Recent Clin Trials 2017;12(4):260-268. doi: 10.2174/1574887112666170828120040. PMID: 28847286
Septic Arthritis of Native Joints.
Ross JJ
Infect Dis Clin North Am 2017 Jun;31(2):203-218. Epub 2017 Mar 30 doi: 10.1016/j.idc.2017.01.001. PMID: 28366221
Bacterial arthritis.
Ike RW
Curr Opin Rheumatol 1998 Jul;10(4):330-4. doi: 10.1097/00002281-199807000-00009. PMID: 9725094
Bacterial arthritis.
Ho G Jr
Curr Opin Rheumatol 1993 Jul;5(4):449-53. doi: 10.1097/00002281-199305040-00008. PMID: 8357741
Infectious arthritis.
Smith JW
Infect Dis Clin North Am 1990 Sep;4(3):523-38. PMID: 2212604

Clinical prediction guides

Open lift-drill-fill-fix for medial osteochondral lesions of the talus: surgical technique.
Rikken QGH, Favier BJC, Dahmen J, Stufkens SAS, Kerkhoffs GMMJ
Oper Orthop Traumatol 2024 Apr;36(2):132-144. Epub 2023 Oct 12 doi: 10.1007/s00064-023-00833-7. PMID: 37828133Free PMC Article
Gonococcal arthritis: case series of 58 hospital cases.
Moussiegt A, François C, Belmonte O, Jaubert J, Traversier N, Picot S, Josse F, Guillot X, Poubeau P, Moiton MP, Bertolotti A, Raffray L
Clin Rheumatol 2022 Sep;41(9):2855-2862. Epub 2022 May 20 doi: 10.1007/s10067-022-06208-w. PMID: 35590115
Long-term results of bacterial septic arthritis of the wrist.
Dadras M, Böhm C, Wallner C, Wagner JM, Behr B, Lehnhardt M, Daigeler A
J Plast Reconstr Aesthet Surg 2018 Aug;71(8):1138-1145. Epub 2018 May 22 doi: 10.1016/j.bjps.2018.04.017. PMID: 29891427
Rapid exclusion of bacterial arthritis using a glucometer.
Omar M, Reichling M, Liodakis E, Ettinger M, Guenther D, Decker S, Krettek C, Suero EM, Mommsen P
Clin Rheumatol 2017 Mar;36(3):591-598. Epub 2016 Apr 12 doi: 10.1007/s10067-016-3255-4. PMID: 27071629
Infectious arthritis.
Smith JW
Infect Dis Clin North Am 1990 Sep;4(3):523-38. PMID: 2212604

Recent systematic reviews

Executive summary: Guidelines for the diagnosis and treatment of septic arthritis in adults and children, developed by the GEIO (SEIMC), SEIP and SECOT.
Benito N, Martínez-Pastor JC, Lora-Tamayo J, Ariza J, Baeza J, Belzunegui-Otano J, Cobo J, Del-Toro MD, Fontecha CG, Font-Vizcarra L, Horcajada JP, Morata L, Murillo O, Nolla JM, Núñez-Cuadros E, Pigrau C, Portillo ME, Rodríguez-Pardo D, Sobrino-Díaz B, Saavedra-Lozano J
Enferm Infecc Microbiol Clin (Engl Ed) 2024 Apr;42(4):208-214. Epub 2023 Oct 31 doi: 10.1016/j.eimce.2023.07.007. PMID: 37919201
Failure rates in surgical treatment in adults with bacterial arthritis of a native joint: a systematic review of 8,586 native joints.
Walinga AB, Stornebrink T, Emanuel KS, Kievit AJ, Janssen SJ, Kerkhoffs GMMJ
Arch Orthop Trauma Surg 2023 Nov;143(11):6547-6559. Epub 2023 Jul 3 doi: 10.1007/s00402-023-04958-z. PMID: 37395855Free PMC Article
What are the best diagnostic tests for diagnosing bacterial arthritis of a native joint? : a systematic review of 27 studies.
Walinga AB, Stornebrink T, Langerhuizen DWG, Struijs PAA, Kerkhoffs GMMJ, Janssen SJ
Bone Joint J 2021 Dec;103-B(12):1745-1753. doi: 10.1302/0301-620X.103B12.BJJ-2021-0114.R1. PMID: 34847715
Arthroscopic synovectomy, irrigation, and debridement for treatment of septic ankle arthrosis: a systematic review and case series.
Mankovecky MR, Roukis TS
J Foot Ankle Surg 2014 Sep-Oct;53(5):615-9. Epub 2013 Dec 15 doi: 10.1053/j.jfas.2013.10.012. PMID: 24345707
Infections after high tibial osteotomy.
Anagnostakos K, Mosser P, Kohn D
Knee Surg Sports Traumatol Arthrosc 2013 Jan;21(1):161-9. Epub 2012 Jun 23 doi: 10.1007/s00167-012-2084-5. PMID: 22729805

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