Rouiller N, Petignat P-A, Bally F
Département de médecine interne, Centre hospitalier du Centre du Valais, Sion.
Rev Med Suisse. 2010 Oct 13;6(266):1914-7.
Septic or acute bacterial arthritis is a medical emergency. The primary physician must suspect this condition even when clinical symptoms are non specific or with simultaneous inflammatory arthropathy. Septic arthritis can have serious complications. Optimal care requires hospital admission in general. Synovial fluid aspiration and its correct interpretation, the appropriate choice and timely administration of empiric antibiotic therapy can limit destruction of the joint's cartilage. The adaptation of the antibiotic regimen after reception of microbiological results and the adequate treatment in full length require interdisciplinary collaboration between the hospital physician, including the specialist in infectious diseases, the microbiology laboratory and post-hospital care.
脓毒性或急性细菌性关节炎是一种医疗急症。即使临床症状不具特异性或同时伴有炎性关节病,首诊医生也必须怀疑这种病症。脓毒性关节炎可能会引发严重并发症。一般而言,最佳治疗需要住院。关节腔穿刺抽液及其正确解读、经验性抗生素治疗的恰当选择和及时给药,可限制关节软骨的破坏。收到微生物学检测结果后调整抗生素治疗方案以及进行全程充分治疗,需要医院医生(包括传染病专科医生)、微生物学实验室和出院后护理之间开展跨学科协作。