Morgan DS; Fisher D; Merianos A; Currie BJ

Author(s)

Morgan DS

Fisher D

Merianos A

Currie BJ

Publication Date

1996-12

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.

Citation

Epidemiology and infection 1996-12; 117(3): 423-8

ISSN

0950-2688

Pubmed ID

https://pubmed.ncbi.nlm.nih.gov/8972665/?otool=iaurydwlib

Link

https://hdl.handle.net/10137/6888

MESH subject

Adolescent

Adult

Age Distribution

Aged

Aged, 80 and over

Arthritis, Infectious

Australia

Child

Child, Preschool

Female

Humans

Incidence

Infant

Male

Middle Aged

Retrospective Studies

Sex Factors

Treatment Outcome

Tropical Climate

Title

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

Type of document

Journal Article

Entity Type

Publication

Author(s)	Morgan DS Fisher D Merianos A Currie BJ
Publication Date	1996-12
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.
Citation	Epidemiology and infection 1996-12; 117(3): 423-8
ISSN	0950-2688
Pubmed ID	https://pubmed.ncbi.nlm.nih.gov/8972665/?otool=iaurydwlib
Link	https://hdl.handle.net/10137/6888
MESH subject	Adolescent Adult Age Distribution Aged Aged, 80 and over Arthritis, Infectious Australia Child Child, Preschool Female Humans Incidence Infant Male Middle Aged Retrospective Studies Sex Factors Treatment Outcome Tropical Climate
Title	An 18 year clinical review of septic arthritis from tropical Australia.
Type of document	Journal Article
Entity Type	Publication

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

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