Cent Eur J Public Health 2024, 32(Suppl):S52-57 | DOI: 10.21101/cejph.a7887

A ten-year retrospective analysis of risk factors and comorbidities prevalence in a group of septic arthritis patients

Dávid Sokol1, Erik Dorko2, Kvetoslava Rimárová2, Róbert Čellár1, Erik Drabiščák2, Daniela Schreierová1, Marek Lacko1, István Mitró1, Ahmad Gharaibeh1, Peter Hrdlík1
1 Department of Orthopaedics and Traumatology of Locomotory Apparatus, Faculty of Medicine, Pavol Jozef Šafárik University and Louis Pasteur University Hospital in Košice, Košice, Slovak Republic
2 Department of Public Health and Hygiene, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovak Republic

Objectives: The aim of this study was the evaluation of a group of patients treated at the Department of Orthopaedics and Traumatology of Locomotory Apparatus at Luis Pasteur University Hospital in Košice for septic arthritis in relation to risk factors and chronic diseases and its microbial aetiologic profile.

Methods: We conducted a retrospective study of patients including all episodes of septic arthritis from March 2013 to August 2022. The occurrence of chronic diseases, risk factors and its microbiological profile were investigated.

Results: A total of 141 patients were included: 92 (65%) males and 49 (35%) females, the mean age of patients was 58.1 years. A continued decrease in cases was recorded during the period of COVID-19 pandemic and the post-pandemic years. The largest group of our cohort represented septic arthritis of the knee (87 cases, 61.7%), followed by hip and shoulder arthritis - 17 (12.1%) and 14 (9.9%) cases, respectively. Gram positive aetiologic flora represented 87.5% of all pathogens isolated and antibiotics were administered to 46 (32.6%) patients before microbiological culture samples were obtained. The dominant chronic disease was diabetes mellitus with 42 (29.8%) cases and degenerative joint disease affecting the joint was verified in 86 (61%) patients. Dental foci in 28 (19.9%) cases and skin infections in 17 (12.1%) cases were the most numerous groups of risk factors with predominant distribution for cases without previous intervention in the affected joint leading to infection.

Conclusion: The distribution of joint involvement and microbial agents was similar to other literature without affecting negative culture results by prior administration of antibiotics. Representation of chronic diseases and risk factors was comparable to the work of other authors. Notable was the continued decline in total number of cases in post-pandemic years of COVID-19 pandemic. What was interesting was the number of confirmed cases of distant focal infection distributed mainly in the group of patients without a history of any previous intervention on the joint before the infection. There is a lack of literature on distant silent infection as a risk factor.

Klíčová slova: septic arthritis, chronic diseases, risk factors, distant focal infection

Vloženo: 23. květen 2023; Revidováno: 30. srpen 2024; Přijato: 30. srpen 2024; Zveřejněno: 31. prosinec 2024  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Sokol D, Dorko E, Rimárová K, Čellár R, Drabiščák E, Schreierová D, et al.. A ten-year retrospective analysis of risk factors and comorbidities prevalence in a group of septic arthritis patients. Cent Eur J Public Health. 2024;32(Supplement):52-57. doi: 10.21101/cejph.a7887. PubMed PMID: 39832148.
Sdílet...
Stáhnout citaci
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Zobrazit celý článek

    Reference

    1. Momodu II, Savaliya V. Septic arthritis. In: StatPearls [Internet]. Treasure Island: StatPearls Publishing; 2024 [cited 2024 Aug 30]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538176/.
    2. Smith JW, Chalupa P, Shabaz Hasan M. Infectious arthritis: clinical features, laboratory findings and treatment. Clin Microbiol Infect. 2006;12(4):309-14. Přejít k původnímu zdroji... Přejít na PubMed...
    3. Oh BH, Heo YM, Yeo IU, Shin WJ, Yoo HJ. Efficacy of lavage by tube under local anesthesia versus arthroscopic treatment of acute septic arthritis of native knee. Diagnostics (Basel). 2023;13(3):371. doi: 10.3390/diagnostics13030371. Přejít k původnímu zdroji... Přejít na PubMed...
    4. Musil D, Chrdle A, Hornikova M, Balejova M, Klouda J, Pertlicek J, et al. [Native joint septic arthritis in adults: incidence in our group of patients and antibiotic therapy guidelines]. Acta Chir Orthop Traumatol Cech. 2021;88(5):354-61. Czech. Přejít k původnímu zdroji...
    5. Munoz-Gallego I, Mancheno M, Perez-Montarelo D, Viedma E, Chaves F, Lora-Tamayo J. Staphylococcus aureus native arthritis over 10 years. Med Mal Infect. 2020;50(3):257-62. Přejít k původnímu zdroji... Přejít na PubMed...
    6. Nissim L, Lieber SB, Naffaa ME, Fowler ML, Shmerling RH, Paz Z. The impact of gender on the clinical presentation, management, and surgical outcomes of patients with native-joint septic arthritis. J Eval Clin Pract. 2021;27(2):371-6. Přejít k původnímu zdroji... Přejít na PubMed...
    7. Duarte-Monteiro AM, Dourado E, Fonseca JE, Saraiva F. Safety of intra-articular glucocorticoid injections - state of the art. ARP Rheumatol. 2023;2(1):64-73.
    8. Wong JSH, Cheung KMC. Impact of COVID-19 on orthopaedic and trauma service: an epidemiological study. J Bone Joint Surg Am. 2020;102(14):e80. doi: 10.2106/JBJS.20.00775. Přejít k původnímu zdroji... Přejít na PubMed...
    9. Malipeddi R, Nema SK, Gopisankar B, Prabu M, Pasupathy P, Suresh Gandhi B. Clinical outcomes and global health after joint debridement in adult-onset septic arthritis: a prospective observational study. Indian J Orthop. 2021;55(4):912-7. Přejít k původnímu zdroji... Přejít na PubMed...
    10. Nossent J, Raymond W, Keen H, Preen DB, Inderjeeth CA. Non-gonococcal septic arthritis of native joints in Western Australia. A longitudinal population-based study of frequency, risk factors and outcome. Int J Rheum Dis. 2021;24(11):1386-93. Přejít k původnímu zdroji... Přejít na PubMed...
    11. van der Merwe M, Rooks K, Crawford H, Frampton CMA, Boyle MJ. The effect of antibiotic timing on culture yield in paediatric osteoarticular infection. J Child Orthop. 2019;13(1):114-9. Přejít k původnímu zdroji... Přejít na PubMed...
    12. Li XR, Lucero M, Razzak AN, Jha P, Ugolini C. Complex case management of mycobacterium tuberculosis extrapulmonary manifestation to the right sacroiliac joint. Cureus. 2023;15(1):e33789. doi: 10.7759/cureus.33789. Přejít k původnímu zdroji... Přejít na PubMed...
    13. Gharib MH, Alebbi S, Rashid F, Elhaj MF, Zahirb FZ, Al Emadi S. Salmonella-related septic arthritis in an immunocompetent adult: a case report. Cureus. 2022;14(1):e21030. doi: 10.7759/cureus.21030. Přejít k původnímu zdroji... Přejít na PubMed...
    14. Konyves A, Deo SD, Murray JR, Mandalia VI, Von Arx OA, Troughton AH. Septic arthritis of the elbow after chickenpox. J Pediatr Orthop B. 2004;13(2):114-7. Přejít k původnímu zdroji... Přejít na PubMed...
    15. National Health Information Center. [Press release: NHIC: 349 595 patients with diabetes are monitored in Slovakia] [Internet]. Bratislava: NHIC; 2023 [cited 2024 Aug 25]. Available from: https://www.nczisk.sk/Documents/aktuality/tlacove_spravy/2023/TS_NCZI_Na_Slovensku_je_sledovanych_349595_pacientov_cukrovkou_14112023.pdf. Slovak.
    16. Dolin E, Perlmutter LD, Segelnick SL, Weinberg MA, Schoor R. Septic arthritis of the shoulder in a dental patient: a case report and review. N Y State Dent J. 2014;80(3):18-20.
    17. Fe Marques A, Maestre Vera JR, Mateo Maestre M, Gonzalez Romo F, Castrillo Amores MA. Septic arthritis of the knee due to Prevotella loescheii following tooth extraction. Med Oral Patol Oral Cir Bucal. 2008;13(8):E505-7.
    18. Payne LZ, Wolfe SW. Septic arthritis in a normal interphalangeal joint following a dental procedure. J Hand Surg Am. 1994;19(5):815-6. Přejít k původnímu zdroji... Přejít na PubMed...
    19. Kikuchi T, Funaki M, Yamabe T, Oiwa H. A distant origin of sternoclavicular septic arthritis. Intern Med. 2016;55(5):551. doi: 10.2169/internalmedicine.55.5934. Přejít k původnímu zdroji... Přejít na PubMed...
    20. Weston V, Coakley G; British Society for Rheumatology (BSR) Standards, Guidelines and Audit Working Group; British Society for Antimicrobial Chemotherapy; British Orthopaedic Association; Royal College of General Practitioners, et al. Guideline for the management of the hot swollen joint in adults with a particular focus on septic arthritis. J Antimicrob Chemother. 2006;58(3):492-3. Přejít k původnímu zdroji... Přejít na PubMed...
    21. Radhamony NG, Walkay S, Palaneer S, Hamadto M. Predictors of failure after initial arthroscopic washout in septic arthritis of native knee joint- a retrospective analysis. Ann Med Surg (Lond). 2022;74:103269. doi: 10.1016/j.amsu.2022.103269. Přejít k původnímu zdroji... Přejít na PubMed...

    Zpět na obsah