Results of treatment of Hip Septic Arthritis in Neonates

Background & Aim: Septic arthritis is one of the important childhood infections with a high number of complications. Given the rare occurrence of this infection in neonates and its low number of symptoms, the diagnosis of septic arthritis in infants is difficult and its prognosis is mainly affec...

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Bibliographic Details
Published in:Iranian Journal of Orthopaedic Surgery 2020-03, Vol.18 (2), p.61
Main Authors: azar, Massoud Shayesteh, Ganji, S. Esmael Mokhtarnejad, Osia, Soheil, Nasab, Mohammad Hossein Karimi, Osia, Mohammad
Format: Article
Language:English
Subjects:
Care and treatment
Complications and side effects
Diagnosis
Infectious arthritis
Neonatal diseases
Pediatric research
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Summary:Background & Aim: Septic arthritis is one of the important childhood infections with a high number of complications. Given the rare occurrence of this infection in neonates and its low number of symptoms, the diagnosis of septic arthritis in infants is difficult and its prognosis is mainly affected by early diagnosis and treatment. This study aimed to evaluate the results of neonatal hip septic arthritis treatment results in two training hospitals during 2001-2016. Materials and Methods: This cross-sectional and descriptive research was performed on infants who were referred to hospitals in the North of Iran due to hip septic arthritis during 2001-2016. Medical information was two recorded in a checklist based on demographic indicators and clinical findings in the laboratory. In addition, the presence of complications in the participants was assessed via a phone call or by in-person visit. Results: In this study, the left hip joint was the most involved joint in terms of septic arthritis (72.2%). In addition, the most common bacteria responsible for the infection were Klebsiella (50%), E.coli (22.2%), and Staphylococcus aureus (27.8%). According to the results, 50% of the subjects were treated completely with no complications, whereas 11% of the right and 38.9% of left hips had limping (p=o.615). Conclusion: Given the high number of complications of neonatal hip infection, early diagnosis and timely treatment is needed to reduce the complications. Keywords: Septic Arthritis, Neonates, Hip Joint, Infection, Treatment, Retrospective Study Received: 4 months before printing; Accepted: 1 month before printing
ISSN:1735-2967