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Old 08-01-2011
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Rheumatology/Orthopedics Should we drain septic hip!

UW says do surgical drainage at first!! and then antibiotics which is nafcillin for kids more than 5 years old. nafcillin and third generation cephalosporin in infants. blueprints doesn't talk about drainage at all
and says cefotaxime for neonates and ceftriaxone for young children. I'd never heard of surgical drainage as ''treatment'' for septic arthritis of hip!!!
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Old 08-02-2011
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Its logical to think that if we do not remove the focus of infection where all bacteria are located, how can we ever expect to cure it totally. and the joint exudate is full of bacteria and neutrophils with all their destructive enzymes! it will deform the joint and damage the articular surfaces.
so the treatment is drainage first and then only antibiotics.
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Old 12-06-2011
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Whereas sepsis of the native hip joint is uncommon in adults, it is observed with relative frequency in infants and toddlers. In the evaluation of a young child with acute-onset hip or thigh pain, care must be taken to rule out this diagnosis by means of laboratory tests and aspiration. The diagnosis of purulent arthritis of the hip is an absolute indication for surgical drainage; repeat aspiration is arduous for the surgeon and uncomfortable for the patient.

Source: http://emedicine.medscape.com/article/1268369-overview
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Old 12-06-2011
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Default Up to my knowledge

To the best of my knowledge ,, any antibiotic is not going to work in the presence of pus ,, that's why drainage is important to be done first specially if it's significant in amount ,, also pus could lead to much more rapid destruction of the joint's surface.
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The above post was thanked by:
bebix (12-06-2011)



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