[Childhood septic arthritis]

Duodecim. 2014;130(11):1109-14.
[Article in Finnish]


Childhood acute septic arthritis is most often of hematogenous origin, and usually caused by Staphylococcus aureus. Characteristic symptoms and signs include a swollen, red painful joint, and fever. The diagnosis is confirmed by a joint aspiration. Following a brief 2- to 4-day intravenous phase, the antibiotic course is completed orally to a total of 10 to 14 days. Cephalosporins, clindamycin or staphylococcal penicillins, administered every 6 hours, are recommended as first-line antibiotics because of their appropriate spectrum, excellent penetration, good tolerability in large doses, and moderate price. Operative treatment (arthroscopy, arthrotomy) is not needed routinely, unless the response is tardy.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Acute Disease
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use*
  • Arthritis, Infectious / diagnosis*
  • Arthritis, Infectious / drug therapy*
  • Arthritis, Infectious / microbiology
  • Arthroscopy
  • Child
  • Humans
  • Staphylococcal Infections / diagnosis
  • Staphylococcal Infections / drug therapy


  • Anti-Bacterial Agents