10.4 Septic arthritis
| Type of Infection | First Line (with Dosage and Duration) |
Alternative First Line (with dosage and Duration) |
Comments |
|---|---|---|---|
| Septic Arthritis | Antibiotic selection is same as that for acute osteomyelitis. Duration of therapy: 4-6 weeks for adults, 2 weeks for Gonococcal arthritis (monoarticular arthritis in those with risk of STD). Ceftriaxone 1g q24h for 2 weeks | Acute septic Arthritis (in hip joints) may be secondary to osteomyelitis of proximal femur; Duration of therapy may be 3-6 weeks. Acute septic arthritis of hip joint is an emergency condition that often requires early decompression of hip joint with early initiation of antibiotics to avoid Tom Smith arthritis. |
For common etiological agents of Septic arthritis, see Annexure B.10.4
References
1. Ringold, S., Angeles-Han, S.T., Beukelman, T., Lovell, D., Cuello, C.A., Becker, M.L., Colbert, R.A., Feldman, B.M., Ferguson, P.J., Gewanter, H., Guzman, J., Horonjeff, J., Nigrovic, P.A.,
Ombrello, M.J., Passo, M.H., Stoll, M.L., Rabinovich, C.E., Schneider, R., Halyabar, O., Hays, K., Shah, A.A., Sullivan, N., Szymanski, A.M., Turgunbaev, M., Turner, A. and Reston, J. (2019), 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Treatment of Juvenile Idiopathic Arthritis: Therapeutic Approaches for Non-Systemic Polyarthritis, Sacroiliitis, and Enthesitis. Arthritis Rheumatol, 71: 846- 863. https://doi.org/10.1002/art.40884