Kelly P J
Orthop Clin North Am. 1975 Oct;6(4):973-81.
A brief review of bacterial arthritis as seen at the Mayo Clinic in the years 1958 through 1973 has been presented with a selected literature review. Once considered a disease of children and adolescents, this disease now is seen more often in adults, especially in those who are elderly, are chronically ill, or are receiving medications that lower the host resistance in invading bacteria. The diagnosis must be made early, with rapid isolation and identification of the organism. Proper antibacterial drugs should be selected on the basis of in vitro susceptibility tests. The joint should be either aspirated or decompressed by closed suction-irrigation. In instances in which diagnosis is late and joint destruction occurs, joint débridement will be necessary.
本文结合精选文献回顾，介绍了1958年至1973年期间在梅奥诊所所见到的细菌性关节炎。这种疾病曾一度被认为是儿童和青少年的疾病，现在在成人中更为常见，尤其是老年人、慢性病患者或正在接受降低宿主对入侵细菌抵抗力药物治疗的人群。必须尽早做出诊断，快速分离并鉴定病原体。应根据体外药敏试验选择合适的抗菌药物。关节应通过穿刺抽吸或闭式吸引冲洗进行减压。在诊断较晚且发生关节破坏的情况下，有必要进行关节清创术。
