ArticleAnnals of the rheumatic diseases2003
Prospective comparative study of patients with culture proven and high suspicion of adult onset septic arthritis.
Article in Annals of the rheumatic diseases, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.
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Who cites it
52 citing papers in PubMed, 1 synthesis or guideline pooled it, 154 citations in OpenAlex.
- Management of septic arthritis: a systematic review.Annals of the rheumatic diseases · 2007Pooled it
- Utility of Synovial Alpha Defensin Lateral Flow Test in Diagnosing Septic Arthritis in Native Knees.Cureus · 2026Article
- Primary septic arthritis in the elderly - a forgotten killer? Five-year survival and risk factors in a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Septic Arthritis Risk Calculator: External Validation of a Prediction Model for Native Adult Knees Among Veterans.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Arthroscopy Versus Open Arthrotomy for Septic Arthritis of the Wrist: A Nationwide Inpatient Sample Analysis of 1,065 Cases.Journal of hand surgery global online · 2026Article
- Can we identify which patients are likely to have septic arthritis with borderline synovial fluid cell counts?Journal of bone and joint infection · 2026Article
- Use of Synofast® in routine rheumatology practice: diagnostic performance and impact on management of an acute arthritis.Advances in rheumatology (London, England) · 2025Article
- Septic arthritis of knee joint after rooster attack: a case report.Journal of medical case reports · 2025Article
- Gonococcal Septic Arthritis Involving Bilateral Wrists and Hands in an Elderly Patient.Cureus · 2025Article
- Risk Factors for Failure to Eradicate Infection after Single Arthroscopic Debridement in Septic Arthritis of a Native Knee Joint.Yonsei medical journal · 2025Article
- Risk factors for readmission and mortality after irrigation & debridement for septic arthritis in persons who inject drugs.Journal of orthopaedics · 2025Article
- Management of septic arthritis in adults with a hot swollen joint: British Society for Rheumatology guideline scope.Rheumatology advances in practice · 2025Review
- Native and prosthetic septic arthritis in a university hospital in Saudi Arabia: A retrospective study.World journal of orthopedics · 2024Article
- Incidence of Secondary Osteoarthritis after Primary Shoulder and Knee Empyema and Its Risk Factors.Journal of personalized medicine · 2024Article
- Effect of Antibiotic Administration Before Joint Aspiration on Synovial Fluid White Blood Cell Count in Native Joint Septic Arthritis.Open forum infectious diseases · 2024Article
- Moraxella catarrhalis Septic Arthritis Unveils Undiagnosed Systemic Lupus Erythematous in a Pediatric Patient.Cureus · 2023Article
- Administering Antibiotics for Less Than Four Weeks Increases the Risk of Relapse in Culture-Positive Septic Arthritis of Native Joints.Journal of clinical medicine · 2023Article
- Clinical prediction rule for bacterial arthritis: Chi-squared automatic interaction detector decision tree analysis model.SAGE open medicine · 2023Article
- Comparison of MR Findings between Patients with Septic Arthritis and Acute Gouty Arthritis of the Knee.Journal of the Korean Society of Radiology · 2022Article
- Mortality of septic knee arthritis in Korea: risk factors analysis of a large national database.Scientific reports · 2022Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate whether patients with acute septic arthritis (SA) diagnosed by positive synovial fluid (SF) culture (Newman grade A) have different clinical and serological features from those with sterile SF in whom there is nonetheless a high suspicion of SA (Newman grades B and C). PATIENTS AND
methodsA prospective 12 month multicentre hospital based study of adult patients with SA recruited 47 patients with culture positive SA and 35 patients with clinically suspected SA but sterile SF.
resultsPatient demography, clinical and laboratory features at presentation were similar irrespective of the underlying diagnosis, SF culture, and the presence of prosthetic joints. Medical and surgical treatment and outcome were comparable in the two patient groups. Patients with both suspected and proven SA were more likely to be from the more socially deprived areas of our community (p<0.0001).
conclusionPatients in whom there is a high clinical suspicion of SA are comparable to those patients with SA with a positive SF culture and have similar morbidity and mortality on follow up. Therefore, if clinical suspicion of SA is high then it is correct to treat as SA in the absence of bacterial proof.
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