eMedicine Specialties > Rheumatology > Infectious Arthritis
Nongonococcal Infectious Arthritis: Follow-up
Updated: Oct 7, 2009
Follow-up
Further Inpatient Care
- Admit patients with infectious arthritis for parenteral antibacterial therapy and daily arthrocentesis.
- Perform surgical debridement if no response to medical therapy is observed.
Deterrence/Prevention
- Patients with prosthetic joints require antibacterial prophylaxis before surgical procedures. This prophylaxis is similar to the treatment indicated for endocarditis prophylaxis in patients with valvular heart disease.
Complications
- Irreversible loss of joint function may result if the condition is not treated immediately and for an appropriate duration.
Prognosis
- Morbidity and mortality rates are increased in elderly individuals and individuals with preexisting medical conditions.
Patient Education
- For excellent patient education resources, visit eMedicine's Arthritis Center and Bacterial and Viral Infections Center. Also, see eMedicine's patient education article Knee Pain.
Miscellaneous
Medicolegal Pitfalls
- Failure to consider an infectious etiology in monoarticular arthritic flares in the setting of chronic inflammatory polyarthritis
More on Nongonococcal Infectious Arthritis |
| Overview: Nongonococcal Infectious Arthritis |
| Differential Diagnoses & Workup: Nongonococcal Infectious Arthritis |
| Treatment & Medication: Nongonococcal Infectious Arthritis |
Follow-up: Nongonococcal Infectious Arthritis |
| References |
| « Previous Page |
References
Chambers HF. Community-associated MRSA--resistance and virulence converge. N Engl J Med. Apr 7 2005;352(14):1485-7. [Medline].
[Best Evidence] Mathews CJ, Kingsley G, Field M, Jones A, Weston VC, Phillips M, et al. Management of septic arthritis: a systematic review. Ann Rheum Dis. Apr 2007;66(4):440-5. [Medline].
Shirtliff ME, Mader JT. Acute septic arthritis. Clin Microbiol Rev. Oct 2002;15(4):527-44. [Medline].
von Essen R. Culture of joint specimens in bacterial arthritis. Impact of blood culture bottle utilization. Scand J Rheumatol. 1997;26(4):293-300. [Medline].
Kaandorp CJ, Krijnen P, Moens HJ, Habbema JD, van Schaardenburg D. The outcome of bacterial arthritis: a prospective community-based study. Arthritis Rheum. May 1997;40(5):884-92. [Medline].
Goldenberg DL, Reed JI. Bacterial arthritis. N Engl J Med. Mar 21 1985;312(12):764-71. [Medline].
Smith JW, Chalupa P, Shabaz Hasan M. Infectious arthritis: clinical features, laboratory findings and treatment. Clin Microbiol Infect. Apr 2006;12(4):309-14. [Medline].
Gupta MN, Sturrock RD, Field M. A prospective 2-year study of 75 patients with adult-onset septic arthritis. Rheumatology (Oxford). Jan 2001;40(1):24-30. [Medline].
Harrington JT. Mycobacterial and fungal arthritis. Curr Opin Rheumatol. Jul 1998;10(4):335-8. [Medline].
Further Reading
Keywords
bacterial arthritis, fungal arthritis, candidal arthritis, mycobacterial arthritis, septic arthritis, infectious arthritis, non-gonococcal arthritis, nongonococcal infectious arthritis, non-gonococcal infectious arthritis, infected joint prosthesis, joint prosthesis infection, staphylococcal arthritis
Follow-up: Nongonococcal Infectious Arthritis