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首页> 外文期刊>Revista Brasileira de Ortopedia >Septic arthritis of the shoulder and elbow: one decade of epidemiological analysis at a tertiary referral hospital
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Septic arthritis of the shoulder and elbow: one decade of epidemiological analysis at a tertiary referral hospital

机译：肩膀和肘部脓毒性关节炎：三级转诊医院的流行病学分析十年

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ObjectiveTo describe the clinical and epidemiological characteristics of patients with septic arthritis of the shoulder or elbow and to evaluate prognostic factors for complications during treatment.MethodsA retrospective case series was studied with patients treated between 2004 and 2014. The patients’ clinical and epidemiological characteristics were collected. The clinical and orthopedic complications were identified and possible prognostic factors were evaluated.ResultsTwenty-seven patients were analyzed, 17 with septic arthritis of the shoulder and ten of the elbow. Median age was 46 years (IQR, 24.5; 61). Previous joint disease was observed in nine patients (33%). At least one clinical comorbidity was observed in 23 patients (85%).Staphylococcus aureuswas identified in 14 cases (52%). Fourteen patients (52%) had at least one clinical complication and five patients died (19%). Nine patients (33%) had some type of orthopedic complication. The time between onset of symptoms and surgical treatment was longer in patients with orthopedic complications (p=0.020). Regarding the development of clinical complications, leukocytosis on hospital admission time (p=0.021) and the presence of clinical morbidities (p=0.041) were predictive factors.ConclusionsSeptic arthritis of the shoulder and elbow primarily affects individuals who are immunocompromised and/or have clinical comorbidities.S. aureusis the most common pathogen in Brazil. Leukocytosis at hospital admission and the presence of clinical comorbidities are factors associated with the presence of clinical complications. Longer time between onset of symptoms and surgical treatment was correlated with orthopedic complications.
机译：目的描述肩部或肘部化脓性关节炎患者的临床和流行病学特征，并评估治疗过程中并发症的预后因素。方法回顾性分析2004年至2014年间接受治疗的患者的病例系列。收集患者的临床和流行病学特征。结果对27例患者进行了分析，包括17例肩部感染性关节炎和10例肘部感染，分析了临床和骨科并发症并评估了可能的预后因素。中位年龄为46岁（IQR，24.5; 61）。 9名患者（33％）观察到先前的关节疾病。在23例患者中至少观察到一种合并症（85％）。在14例患者中发现了金黄色葡萄球菌（52％）。 14名患者（52％）至少有1例临床并发症，5例患者死亡（19％）。 9名患者（33％）患有某种骨科并发症。骨科并发症患者从症状发作到手术治疗之间的时间更长（p = 0.020）。关于临床并发症的发展，住院时间的白细胞增多（p = 0.021）和临床发病率（p = 0.041）是预测因素。结论肩部和肘部败血症性关节炎主要影响免疫功能低下和/或有临床症状的个体。合并症金黄色葡萄球菌是巴西最常见的病原体。入院时白细胞增多和临床合并症是与临床并发症相关的因素。症状发作和手术治疗之间的时间较长与整形外科并发症有关。

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