Article in Japanese
Five children with septic arthritis of the hip experienced at our hospital
Norihito MAMIYA1), Mitsue ITO1), Masamune HIGASHIGAWA1)
This retrospective study was conducted to clarify the first-line treatment in children with septic arthritis of the hip. Records of 5 patients, who were admitted to this hospital from January 1998 to July 2012, were reviewed. The detected organisms included Staphylococcus aureus (n=2, MSSA and MRSA), Streptococcus pneumoniae (n=2, PRSP and PISP), and Haemophilus influenzae type B (n=1, BLNAR). Arthrotomy and irrigation with drainage were performed in all of the patients. Drainage was started at day 15 in a 1 month old patient with MSSA, who had developed leg length discrepancy.
One hundred and forty one patients with septic arthritis of the hip were reviewed in 14 reports from Japanese institutions, which showed isolated strains of MRSA and PISP in 26 (18.4%) and 3 (2.1%) patients, respectively. Although drug susceptibility was not described, 9 (6.4%) strains of H. influenzae were detected. Poor outcomes were found in 24 cases (17.0%). Taken together, data from this study and those mentioned above should prompt surgical intervention and administration of optimal antibiotics such as vancomycin and third generation cephalosporins or carbapenems against MRSA, PRSP, and BLNAR in first-line therapy.
1) Department of Pediatrics, Ise Red Cross Hospital
|Received||February 6, 2015|
|Accepted||November 4, 2015|