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. 1996 Dec;117(3):423–428. doi: 10.1017/s0950268800059070

An 18 year clinical review of septic arthritis from tropical Australia.

D S Morgan 1, D Fisher 1, A Merianos 1, B J Currie 1
PMCID: PMC2271655  PMID: 8972665

Abstract

A retrospective study of 191 cases of septic arthritis was undertaken at Royal Darwin Hospital in the tropical north of Australia. Incidence was 9.2 per 100,000 overall and 29.1 per 100,000 in Aboriginal Australians (RR 6.6; 95% CI 5.0-8.9). Males were affected more than females (RR 1.6; 95% CI 1.2-2.1). There was no previous joint disease or medical illness in 54%. The commonest joints involved were the knee (54%) and hip (13%). Significant age associations were infected hips in those under 15 years and infected knees in those over 45 years. Seventy two percent of infections were haematogenous. Causative organisms included Staphylococcus aureus (37%), Streptococcus pyogenes (16%) and Neisseria gonorrhoeae (12%). Unusual infections included three melioidosis cases. Polyarthritis occurred in 17%, with N. gonorrhoeae (11/23) more likely to present as polyarthritis than other organisms (22/168) (OR 6.0; 95% CI 2.1-16.7). Univariate and multivariate analysis showed the hip to be at greater risk for S. aureus than other joints. Open arthrotomy was a more successful treatment procedure than arthroscopic washout or needle aspiration.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cooper C., Cawley M. I. Bacterial arthritis in an English health district: a 10 year review. Ann Rheum Dis. 1986 Jun;45(6):458–463. doi: 10.1136/ard.45.6.458. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Currie B. Medicine in tropical Australia. Med J Aust. 1993 May 3;158(9):609, 612-5. doi: 10.5694/j.1326-5377.1993.tb137630.x. [DOI] [PubMed] [Google Scholar]
  3. Dubost J. J., Fis I., Denis P., Lopitaux R., Soubrier M., Ristori J. M., Bussiere J. L., Sirot J., Sauvezie B. Polyarticular septic arthritis. Medicine (Baltimore) 1993 Sep;72(5):296–310. doi: 10.1097/00005792-199309000-00002. [DOI] [PubMed] [Google Scholar]
  4. Esterhai J. L., Jr, Gelb I. Adult septic arthritis. Orthop Clin North Am. 1991 Jul;22(3):503–514. [PubMed] [Google Scholar]
  5. Goldenberg D. L., Reed J. I. Bacterial arthritis. N Engl J Med. 1985 Mar 21;312(12):764–771. doi: 10.1056/NEJM198503213121206. [DOI] [PubMed] [Google Scholar]
  6. Ho G., Jr How best to drain an infected joint. Will we ever know for certain? J Rheumatol. 1993 Dec;20(12):2001–2003. [PubMed] [Google Scholar]
  7. Ho G., Jr, Su E. Y. Therapy for septic arthritis. JAMA. 1982 Feb 12;247(6):797–800. [PubMed] [Google Scholar]
  8. Klein R. S. Joint infection, with consideration of underlying disease and sources of bacteremia in hematogenous infection. Clin Geriatr Med. 1988 May;4(2):375–394. [PubMed] [Google Scholar]
  9. Kortekangas P., Aro H. T., Tuominen J., Toivanen A. Synovial fluid leukocytosis in bacterial arthritis vs. reactive arthritis and rheumatoid arthritis in the adult knee. Scand J Rheumatol. 1992;21(6):283–288. doi: 10.3109/03009749209099243. [DOI] [PubMed] [Google Scholar]
  10. Leelarasamee A., Bovornkitti S. Melioidosis: review and update. Rev Infect Dis. 1989 May-Jun;11(3):413–425. doi: 10.1093/clinids/11.3.413. [DOI] [PubMed] [Google Scholar]
  11. Meijers K. A., Dijkmans B. A., Hermans J., van den Broek P. J., Cats A. Non-gonococcal infectious arthritis: a retrospective study. J Infect. 1987 Jan;14(1):13–20. doi: 10.1016/s0163-4453(87)90704-3. [DOI] [PubMed] [Google Scholar]
  12. Munoz E., Powers J. R., Nienhuys T. G., Mathews J. D. Social and environmental factors in 10 aboriginal communities in the Northern Territory: relationship to hospital admissions of children. Med J Aust. 1992 Apr 20;156(8):529–533. doi: 10.5694/j.1326-5377.1992.tb121412.x. [DOI] [PubMed] [Google Scholar]
  13. Nakata M. M., Silvers J. H., George W. L. Group G streptococcal arthritis. Arch Intern Med. 1983 Jul;143(7):1328–1330. [PubMed] [Google Scholar]
  14. Peters R. H., Rasker J. J., Jacobs J. W., Prevo R. L., Karthaus R. P. Bacterial arthritis in a district hospital. Clin Rheumatol. 1992 Sep;11(3):351–355. doi: 10.1007/BF02207192. [DOI] [PubMed] [Google Scholar]
  15. Shulman G., Waugh T. R. Acute bacterial arthritis in the adult. Orthop Rev. 1988 Oct;17(10):955–960. [PubMed] [Google Scholar]
  16. Taplin D., Lansdell L., Allen A. M., Rodriguez R., Cortes A. Prevalence of streptococcal pyoderma in relation to climate and hygiene. Lancet. 1973 Mar 10;1(7802):501–503. doi: 10.1016/s0140-6736(73)90324-3. [DOI] [PubMed] [Google Scholar]
  17. Thomson N. J. Recent trends in aboriginal mortality. Med J Aust. 1991 Feb 18;154(4):235–239. doi: 10.5694/j.1326-5377.1991.tb121079.x. [DOI] [PubMed] [Google Scholar]
  18. Youssef P. P., York J. R. Septic arthritis: a second decade of experience. Aust N Z J Med. 1994 Jun;24(3):307–311. doi: 10.1111/j.1445-5994.1994.tb02178.x. [DOI] [PubMed] [Google Scholar]

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