Cooper C, Cawley M I
Ann Rheum Dis. 1986 Jun;45(6):458-63. doi: 10.1136/ard.45.6.458.
Bacterial arthritis continues to present a difficult clinical and therapeutic problem, necessitating prompt diagnosis and intensive therapy. This study comprises a 10 year review of the condition in an English health district, with particular reference to aetiology, presentation, treatment, and outcome. Although the causative organisms remain qualitatively unchanged, increasing numbers of patients are elderly, immunosuppressed, or have underlying arthropathy. Factors which influence outcome include age, causative organism, joint involved, and delay in diagnosis. Attention is drawn to the notably poor outcome of hip infections in the elderly.
细菌性关节炎仍然是一个棘手的临床和治疗难题,需要及时诊断和强化治疗。本研究对英国一个卫生区该疾病进行了为期10年的回顾,特别涉及病因、临床表现、治疗及预后。尽管致病微生物在性质上保持不变,但患者中老年人、免疫抑制者或患有潜在关节病的人数不断增加。影响预后的因素包括年龄、致病微生物、受累关节及诊断延迟。需注意老年人髋关节感染的预后明显较差。