Abstract:
:Staphylococcus aureus is the most common causative organism in pediatric septic arthritis, with methicillin-resistant Staphylococcus aureus (MRSA) being responsible for a significant portion of these infections. Early identification and initiation of proper treatment may improve outcomes by minimizing potential morbidity. The purpose of this study was to identify variables obtained on initial patient presentation associated with MRSA septic arthritis. Sixteen factors were retrospectively evaluated in 109 consecutive pediatric patients diagnosed with culture-confirmed septic arthritis. Graphical and logistical regression analyses were employed to determine factors independently predictive of MRSA septic arthritis. Twenty-seven (25%) patients had MRSA and 82 (75%) had non-MRSA septic arthritis. C-reactive protein of 13.7 mg/L or greater, duration of symptoms of 4 days or more, heart rate of 126 beats per minute or greater, and absolute neutrophil count of 8.72×103 cells/µL or greater were associated with MRSA septic arthritis. Ultimately, 98% of patients with 1 or no risk factors had non-MRSA and 96% of patients with MRSA septic arthritis had 2 or more positive risk factors. Elevated C-reactive protein, duration of symptoms, heart rate, and absolute neutrophil count are predictive of MRSA infection in the setting of pediatric septic arthritis and can be obtained on initial evaluation. In patients for whom there is concern for MRSA infection, this may guide more expedient treatment, such as early initiation of contact precautions and appropriate antibiotic therapy before culture results become available. [Orthopedics. 2018; 41(2):e277-e282.].
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Bernstein DT,Haruno LS,Daram S,Dawson JR,Zhang W,Rosenfeld SBdoi
10.3928/01477447-20180213-04subject
Has Abstractpub_date
2018-03-01 00:00:00pages
e277-e282issue
2eissn
0147-7447issn
1938-2367journal_volume
41pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::The incidence of vascular injuries associated with total hip arthroplasty (THA) is low. However, several vascular structures are at risk of injury within the pelvis. These include the external iliac, femoral, and obturator vessels. Both reaming of the acetabulum and drilling of the acetabular screw holes may place the...
journal_title:Orthopedics
pub_type: 杂志文章,收录出版
doi:10.3928/01477447-20140401-66
更新日期:2014-04-01 00:00:00
abstract::One hundred ten fractures due to gunshots were reviewed to examine the medical, social, and financial implants of such injuries. The population was predominantly male (91%), unemployed (56%), and uninsured (79%). Sixty-eight percent were documented substance abusers, and 65% of the injuries appeared to be related to i...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1994-06-01 00:00:00
abstract::Sixty-two (11 women and 51 men) of 76 consecutive patients treated between January 1960 and December 1979 with percutaneous pinning, traction, and ambulation in Thomas splints for slipped capital femoral epiphyses (physiolysis colli femoris; PCF) were re-examined radiologically and clinically to evaluate long-term res...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1991-02-01 00:00:00
abstract::Osteoid osteoma is a benign tumor of bone that occurs in children and adolescents, particularly in the femur and tibia. Osteoid osteoma of the spine accounts for approximately 10% of these lesions. There frequently is a delay in diagnosis because of its difficult visual appearance. Pain in the spine occurring at night...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1986-08-01 00:00:00
abstract::The purpose of this study was to compare conventional and navigated technique and a recently developed straight hip stem for uncemented primary total hip arthroplasty. The results of two consecutive implantation series of 42 patients (nonnavigated) and 42 patients (navigated) were analysed for implant positioning and ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2008-10-01 00:00:00
abstract::Metal allergy is an uncommon and poorly understood cause of failure of orthopedic implants. To the authors' knowledge, there have been no reports of the management of shoulder arthroplasty patients with metal allergy. The authors present their experience with the diagnosis and management of patients with metal allergy...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20170719-01
更新日期:2017-09-01 00:00:00
abstract::The TRPS I has been reported in European, Asian, Australian, and North American populations. To the best of our knowledge, this is the first case reported in the black population. Like many patients with this syndrome, it was the presence of "Perthes-like" disease that eventually lead to the diagnosis. This hip compli...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract::Forty-six consecutive patients with 57 congenitally dislocated hips were treated with open reduction and femoral or acetabular procedures as indicated. Patient age ranged from 12 to 36 months at the time of surgery. We evaluated the outcome of 38 of the 46 patients (83%) with 47 hips (83%) at a mean follow-up of 18 ye...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100129-05
更新日期:2010-03-01 00:00:00
abstract::With the advent of newer prosthetic designs, total wrist arthroplasty provides a functional range of motion, better wrist balance, reduced risk of loosening, and better implant stability. ...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2004-03-01 00:00:00
abstract::Fourteen patients with Stage II or III impingement syndrome (average age 58 years) were studied. Nine patients had full-thickness rotator cuff tears documented by arthrograms. Patients initially underwent a thorough shoulder examination followed by baseline isokinetic strength testing. Abduction/adduction testing was ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1994-08-01 00:00:00
abstract::Studies have shown the effectiveness of cervical disk replacement. However, clinical outcomes, particularly by radiographic assessment during the 36-month follow-up visit, have not been reported for cervical disk replacement with Mobi-C (LDR, Austin, Texas) disk prostheses. A retrospective study was conducted at 10 ce...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20141023-50
更新日期:2014-11-01 00:00:00
abstract::A 64-year-old woman presented with right hip pain of 6 years' duration, accompanied by limping of 1 years' duration. Preoperative pelvis radiograph showed narrowing of joint space, osteophyte formation, and cystis degeneration of the femoral head surrounded by bony sclerosis, without obvious collapse of the femoral he...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110427-32
更新日期:2011-06-14 00:00:00
abstract::The study of acetabular morphology has shown that there are geographic differences in the morphology and prevalence of acetabular dysplasia among different ethnic groups. However, few data exist on the shape of the acetabulum in various populations around the world. In this study, we examined samples of pelvic radiogr...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110228-10
更新日期:2011-04-11 00:00:00
abstract::Little is known about the mid-term results of nonsurgical treatment for shoulder osteoarthritis (OA), especially in a Chinese population. This study sought to determine the efficacy of nonsurgical management in older patients with shoulder OA. A total of 129 conservatively treated unilateral shoulder OA patients who w...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160606-02
更新日期:2016-07-01 00:00:00
abstract::Vigorous treatment is not always necessary to eradicate late postoperative infection after total knee implantation. Aspiration of the pus and intravenous antibiotic administration was enough to eradicate the infection in the case reported. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1978-05-01 00:00:00
abstract::Accurate sagittal alignment of the femoral component in total knee arthroplasty is crucial for prosthesis longevity, improved function, and patient satisfaction. However, there is variation in the techniques used to attain optimal sagittal femoral component placement in total knee arthroplasty. Femoral component flexi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20161108-04
更新日期:2017-03-01 00:00:00
abstract::Enchondroma of the hand is a common lesion with a recurrence rate of up to 13.3% after curettage and bone grafting. Pathologic fractures often occur. Although allograft bone chips are widely used in the surgical treatment of enchondroma, the use of structural allograft bone has not been reported before. This case repo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150701-92
更新日期:2015-07-01 00:00:00
abstract::We evaluated the rotational alignment of the femoral component after total knee arthroplasty in 46 patients with distal femoral torsional deformity using a navigation-assisted gap technique. Preoperative distal femoral torsional angle and postoperative rotational deviation of the femoral component were measured using ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090915-61
更新日期:2009-10-01 00:00:00
abstract::A 13-year-old boy presented to the emergency department with bilateral ankle pain and swelling following a 5-foot fall from a swing set. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20141124-01
更新日期:2014-12-01 00:00:00
abstract::Septic arthritis of the native glenohumeral joint is rare, and there is little information available regarding the natural progression and long-term joint outcomes of this pathology. The authors performed a retrospective analysis of 97 patients with culture-positive glenohumeral septic arthritis between 1995 and 2015 ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20181227-01
更新日期:2019-01-01 00:00:00
abstract::Free vascularized fibular grafting (FVFG) is an effective method to treat corticosteroid-induced osteonecrosis of the femoral head (ONFH). Some patients continued to receive maintenance doses of corticosteroids to treat the primary disease postoperatively. This study was performed to evaluate outcomes of FVFG for cort...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140401-56
更新日期:2014-04-01 00:00:00
abstract::The EMG-force relationships of skeletal muscles are of significant interest to the orthopedic-biomechanics researcher and have been a topic of interest and controversy for the last three decades. We present the developments reported in the literature, from the early 1950s, relevant to this topic, outlining the details...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1986-11-01 00:00:00
abstract::One hundred patients 10 years of age or older with myelodysplasia were evaluated to compare located versus dislocated hips with regard to neurologic level, ambulation, hip pain, skin condition, and spinal deformity. Operated and nonoperated individuals were compared. Analysis was carried out to determine what the over...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:1989-05-01 00:00:00
abstract::This study investigated the posterior movement of the spinal cord after posterior decompression surgery and evaluated factors affecting postoperative functional recovery in patients with cervical spondylotic myelopathy (CSM). Thirty-two patients with CSM underwent posterior decompression from C3 to C7 through laminect...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20111021-03
更新日期:2011-12-06 00:00:00
abstract::Twenty-two patients with fibrous dysplasia in the femoral neck or trochanteric area were treated with curettage and bone grafting with a sliding hip compression screw and plate. Follow-up ranged from 2 to 6 years (average: 4 years). Fourteen patients had monostotic and 8 had polyostotic disease. Four patients had path...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::The authors found 41 patients with 42 fractures of the hip who had no distinct history of trauma in the total of 1,449 hip fractures treated. They were all women ranging in age from 64 to 91 years. Most of the fractures were of intracapsular type. Three extracapsular fractures, however, were found. Fractures were rand...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1988-09-01 00:00:00
abstract::Excessive wear debris, deep infection, periprosthetic fracture, and other causes can lead to bone loss associated with total joint replacements. When performing revisions, surgeons are often preoccupied by the failed implant and the method of replacement, and neglect an opportunity to replenish lost bone. Thus, when f...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100722-31
更新日期:2010-09-07 00:00:00
abstract::This investigation compared lower extremity function of a control group and a group of patients who underwent anterior cruciate ligament (ACL) reconstruction using a repeated measures post-test only control group design. The ACL reconstruction group consisted of 18 patients at least 6 months postoperative (mean 58+/-1...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2004-06-01 00:00:00
abstract::As a screening tool, CT angiography has excellent sensitivity and specificity combined with fewer complications compared to conventional arteriography. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20080801-27
更新日期:2008-08-01 00:00:00
abstract::A new, modified calcium sulfate has been developed with a different crystalline structure and a compressive strength similar to many calcium phosphate materials, but with a resorption profile only slightly slower than conventional surgical-grade calcium sulfate. A canine bilateral defect model was used to compare rest...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00