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JAC Advance Access published online on July 19, 2006
Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkl295
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© The Author 2006. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Leading article

Guideline for the management of the hot swollen joint in adults with a particular focus on septic arthritis

Vivienne Weston 1 * and Gerald Coakley 2

1 Nottingham University Hospitals, Nottingham NG7 2UH, UK
2 Queen Elizabeth Hospital, London SE18 4QH, UK

* To whom correspondence should be addressed.
Vivienne Weston, E-mail: vivienne.weston{at}nuh.nhs.uk


  Abstract

The British Society for Rheumatology (BSR) Standards, Guidelines and Audit Working Group, in conjunction with the British Society for Antimicrobial Chemotherapy, British Orthopaedic Association, Royal College of General Practitioners and British Health Professionals in Rheumatology, has produced an evidence-based guideline for the management of the hot swollen joint with particular focus on the septic joint. The aim of the guideline is to help accurate diagnosis and appropriate treatment when a joint is hot because of sepsis, while also ensuring that other causes such as crystal arthritis are recognized and not over-treated.

Keywords: Staphylococcus aureus; streptococci; methicillin-resistant Staphylococcus aureus; MRSA; Neisseria gonorrhoeae; Haemophilus influenzae type b; antibiotic policies; empirical antibiotic therapy; arthroscopy; needle aspiration.
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[Abstract] [Full Text] [PDF]


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