Treatment of septic arthritis: comparison of needle aspiration and surgery as initial modes of joint drainage

Arthritis Rheum. Jan-Feb 1975;18(1):83-90. doi: 10.1002/art.1780180116.

Abstract

Surgery and needle aspiraton have been evaluated as initial modes of drainage in 59 patients with acute septic arthritis. Full recovery was noted in 42% treated surgically at the outset. On the other hand, 67% of those treated by needle aspiration recovered without sequelae, despite the greater prevalence in this group of adverse host factor-eg, serious underlying illness, concommitant extraarticular infection, prior arthritis in the infected joint, and recent antibiotic or immunosuppressive therapy.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acute Disease
  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Arthritis, Infectious / blood
  • Arthritis, Infectious / surgery*
  • Arthritis, Infectious / therapy
  • Body Temperature
  • Disease Susceptibility
  • Drainage*
  • Female
  • Humans
  • Joints / surgery*
  • Leukocyte Count
  • Male
  • Middle Aged
  • Needles
  • Retrospective Studies
  • Staphylococcal Infections / blood
  • Staphylococcal Infections / surgery*
  • Staphylococcal Infections / therapy
  • Streptococcal Infections / blood
  • Streptococcal Infections / surgery*
  • Streptococcal Infections / therapy

Substances

  • Anti-Bacterial Agents