预测儿童化脓性关节炎中的邻近感染：预测标准能否跨地理区域外推？：预测东南部的关节周围感染。
Predicting adjacent infections in pediatric septic arthritis: Do predictive criteria extrapolate across geographic regions?: Predicting Periarticular Infection in the Southeast.
作者信息
Paynter Jordan W, Griswold B Gage, Lane Pearce W, Paré Daniel W, Patel Rahil A, Steflik Michael J, Shaw K Aaron
机构信息
Department of Orthopaedics, Medical College of Georgia at Augusta University, Augusta, GA, USA.
Medical College of Georgia, Augusta University, Augusta, GA, USA.
出版信息
J Orthop. 2021 Nov 9;28:53-57. doi: 10.1016/j.jor.2021.11.004. eCollection 2021 Nov-Dec.
Abstract
PURPOSE
This study aims to assess previously determined predictive criteria for presence of adjacent infection in septic arthritis within a Southeastern United States (US) pediatric population.
RESULTS
The sensitivity, specificity, positive predictive value, and negative predictive value of the Rosenfeld criteria were: 91.7%, 22.7%, 39.3%, and 83.3%, respectively. The patients with periarticular infection were more likely to have positive blood cultures than those with isolated septic arthritis. There was no difference in likelihood of secondary surgical intervention.
CONCLUSIONS
Previously defined criteria to predict adjacent infection in pediatric septic arthritis did not demonstrate external validity in a Southeastern US pediatric population.
摘要
目的
本研究旨在评估先前确定的关于美国东南部儿科人群化脓性关节炎中是否存在邻近感染的预测标准。
结果
罗森菲尔德标准的敏感性、特异性、阳性预测值和阴性预测值分别为：91.7%、22.7%、39.3%和83.3%。关节周围感染的患者比单纯化脓性关节炎患者的血培养更可能呈阳性。二次手术干预的可能性没有差异。
结论
先前定义的预测儿科化脓性关节炎邻近感染的标准在美国东南部儿科人群中未显示出外部有效性。
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