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Septic arthrtiis - Coggle Diagram

- - - - indication
        
        symptoms lasting more than 5 days
        
        CRP>10 mg/dL,
        
        15,000 neutrophils/mm3
        
        ESR> 50 mm/hr
  - - - after joint aspiration
        
        give first generation cephalosporin
        
        give clindamycin for mrsa
    - - AMPICILIN SULBACT PLUS GENTA SHOULD BE OKAY
        
        1 mo
        
        Ampicillin-sulbactam 1 gentamycin
        
        1–3 mo
        
        Vancomycin 1 ceftriaxone
        
        Pediatric and adolescent
        
        Cefazolin or cefuroxime
        
        Clindamycin (high MRSA rate)
        
        Vancomycin (high MRSA rate, high clindamycin resistance, severe infection)
- - - - S aureus
      - Kingella kingae
      - Group A Streptococcus
      - Streptococcus pneumoniae
      - (unimmunized children)
      - Haemophilus influenzae typ
      - (unimmunized children)
  - - - S aureus
      - Group A Streptoco
      - N gonorrhoeae
- - - - fever >101.3
      - refusal to bear weight
      - leukocyte count .12,000
      - ESR .40
    - - crp > 2
      - fever > 38.5
      - esr > 20
      - PROCALCITONIN
- - - - hip
        
        increased joint space
    - - highly sensotove and spesific test for joint effusion and potential SA
      - anterior synovial collection
        hip effusion
        synovial capsule thickening
    - - marrow changes
        
        subperiosteal abscess
        
        osteomyelitis
  - - - cell count,
        
        gram stain,
        
        culture,
        
        and antibiotic sensitivity
      - arah infeksi jika
        
        Synovial fluid with a cloudy
        
        purulent synovial fluid appearance
        
        WBC count .50,000 cells/mL with more than 90% polymorphonuclear neutrophils, and a glucose level
        
        50 mg/dL less than serum glucose levels