Management of septic arthritis of the hip joint in adults. A systematic review of the literature

Abstract Background The septic arthritis of the hip is a complex condition characterized by a variety of clinical presentations, a challenging diagnosis and different surgical treatment options, including arthroscopy, resection arthroplasty and one and two-stage total hip replacement. Each technique...

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Autores principales:	Giovanni Balato, Vincenzo de Matteo, Tiziana Ascione, Roberto de Giovanni, Ernesto Marano, Maria Rizzo, Massimo Mariconda
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Septic arthritis Hip joint Adult Infection Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/ecbc0dbf2caf41a7a380af2e17e59898
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spelling	oai:doaj.org-article:ecbc0dbf2caf41a7a380af2e17e598982021-12-05T12:18:12ZManagement of septic arthritis of the hip joint in adults. A systematic review of the literature10.1186/s12891-021-04843-z1471-2474https://doaj.org/article/ecbc0dbf2caf41a7a380af2e17e598982021-12-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04843-zhttps://doaj.org/toc/1471-2474Abstract Background The septic arthritis of the hip is a complex condition characterized by a variety of clinical presentations, a challenging diagnosis and different surgical treatment options, including arthroscopy, resection arthroplasty and one and two-stage total hip replacement. Each technique reports variable results in terms of infection eradication rate. The aim of this systematic review is to compare the most relevant studies available in current literature and to assess if a better treatment outcome can be predicted based on the microbiology, history, and type of infection (active vs quiescent) of each case. Methods A systematic review of the literature was performed in accordance with the PRISMA guidelines, including the studies dealing with the treatment of hip septic arthritis in adult patients. Electronic databases, namely the MEDLINE, Scopus, and Web of Science, were reviewed using a combination of following keywords “septic arthritis” AND “hip joint” OR “hip” AND “adult”. Results The total number of patients included in this review was 1236 (45% of which females), for 1238 hips. The most common pathogen isolated was Staphylococcus aureus in its Methicillin-sensitive variant ranging from 2 to 37% of cases. Negative cultures were the second most common finding. It was also differentiated the type of infection of the hip, 809 and 417 patients with active and quiescent hip infection, respectively, were analyzed. Eradication rates for two-stage revision arthroplasty ranged between 85 and 100%, for one-stage approach between 94 and 100%, while for arthroscopic debridement/lavage between 89 and 100%. Conclusion Staphylococcus aureus is the most common microorganism isolated followed by culture negative infections. Arthroscopic, one and two stage procedures can be effective in the treatment of hip septic arthritis when the indication is consistent with the type of infection retrieved. Level of evidence IV, therapeutic study.Giovanni BalatoVincenzo de MatteoTiziana AscioneRoberto de GiovanniErnesto MaranoMaria RizzoMassimo MaricondaBMCarticleSeptic arthritisHip jointAdultInfectionDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss S2, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Septic arthritis Hip joint Adult Infection Diseases of the musculoskeletal system RC925-935
spellingShingle	Septic arthritis Hip joint Adult Infection Diseases of the musculoskeletal system RC925-935 Giovanni Balato Vincenzo de Matteo Tiziana Ascione Roberto de Giovanni Ernesto Marano Maria Rizzo Massimo Mariconda Management of septic arthritis of the hip joint in adults. A systematic review of the literature
description	Abstract Background The septic arthritis of the hip is a complex condition characterized by a variety of clinical presentations, a challenging diagnosis and different surgical treatment options, including arthroscopy, resection arthroplasty and one and two-stage total hip replacement. Each technique reports variable results in terms of infection eradication rate. The aim of this systematic review is to compare the most relevant studies available in current literature and to assess if a better treatment outcome can be predicted based on the microbiology, history, and type of infection (active vs quiescent) of each case. Methods A systematic review of the literature was performed in accordance with the PRISMA guidelines, including the studies dealing with the treatment of hip septic arthritis in adult patients. Electronic databases, namely the MEDLINE, Scopus, and Web of Science, were reviewed using a combination of following keywords “septic arthritis” AND “hip joint” OR “hip” AND “adult”. Results The total number of patients included in this review was 1236 (45% of which females), for 1238 hips. The most common pathogen isolated was Staphylococcus aureus in its Methicillin-sensitive variant ranging from 2 to 37% of cases. Negative cultures were the second most common finding. It was also differentiated the type of infection of the hip, 809 and 417 patients with active and quiescent hip infection, respectively, were analyzed. Eradication rates for two-stage revision arthroplasty ranged between 85 and 100%, for one-stage approach between 94 and 100%, while for arthroscopic debridement/lavage between 89 and 100%. Conclusion Staphylococcus aureus is the most common microorganism isolated followed by culture negative infections. Arthroscopic, one and two stage procedures can be effective in the treatment of hip septic arthritis when the indication is consistent with the type of infection retrieved. Level of evidence IV, therapeutic study.
format	article
author	Giovanni Balato Vincenzo de Matteo Tiziana Ascione Roberto de Giovanni Ernesto Marano Maria Rizzo Massimo Mariconda
author_facet	Giovanni Balato Vincenzo de Matteo Tiziana Ascione Roberto de Giovanni Ernesto Marano Maria Rizzo Massimo Mariconda
author_sort	Giovanni Balato
title	Management of septic arthritis of the hip joint in adults. A systematic review of the literature
title_short	Management of septic arthritis of the hip joint in adults. A systematic review of the literature
title_full	Management of septic arthritis of the hip joint in adults. A systematic review of the literature
title_fullStr	Management of septic arthritis of the hip joint in adults. A systematic review of the literature
title_full_unstemmed	Management of septic arthritis of the hip joint in adults. A systematic review of the literature
title_sort	management of septic arthritis of the hip joint in adults. a systematic review of the literature
publisher	BMC
publishDate	2021
url	https://doaj.org/article/ecbc0dbf2caf41a7a380af2e17e59898
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Management of septic arthritis of the hip joint in adults. A systematic review of the literature

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