Knudsen F U, Petersen S
Acta Paediatr Scand. 1977 Mar;66(2):225-7. doi: 10.1111/j.1651-2227.1977.tb07837.x.
Three cases of neonatal septic osteo-arthritis due to umbilical artery catheterisation are described. The clinical features were characteristic. A week after removal of the catheter a septic osteo-arthritis developed. The etiological agent in all three cases was Staphylococcus aureus, resistant to penicillin. The disease is probably caused by haematogenous spread of septic clots from thrombus formation on the catheter. Symptoms and signs were few and vague. It is suggested that septic osteo-arthritis due to umbilical catheterisation is more frequent than hitherto believed, and low-grade forms might remain undiagnosed.
本文描述了3例因脐动脉插管导致的新生儿化脓性骨关节炎。其临床特征具有特异性。导管拔除一周后发生化脓性骨关节炎。所有3例的病原体均为对青霉素耐药的金黄色葡萄球菌。该病可能是由导管上血栓形成的感染性栓子经血行播散所致。症状和体征较少且不明显。提示因脐动脉插管导致的化脓性骨关节炎比迄今认为的更为常见，轻度病例可能仍未被诊断出来。
