Journal
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
Volume 22, Issue 5, Pages 486-490Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/BPB.0b013e32836027ca
Keywords
children; complications; musculoskeletal infections; septic arthritis
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Funding
- human ethics committee at the Children's Hospital at Westmead [MR 2011-02-05]
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There are very few literature data from the last two decades on the rate of complications following septic arthritis in children. This retrospective chart review shows that 10% of children admitted for septic arthritis to our institution suffered from clinically significant complications at 12 months following diagnosis. Forty-four children met our inclusion criteria, of whom 59% were male and 57% were culture positive. The most common causative organism was Staphylococcus aureus (76%), of which only 8% were methicillin-resistant S. aureus. Poor prognostic factors were culture positivity, infancy (<2 years) and male sex. Our rate of dysfunction is lower than most published rates, which have historically been in the range 15 to 49% in developed countries. (C) 2013 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
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