Artritis séptica en un centro de adultos de tercer nivel de atención

Content Provider	Semantic Scholar
Author	Aguirre, José Manuel Ornelas
Copyright Year	2016
Abstract	espanolObjetivo Describir los antecedentes, caracteristicas clinicas y microorganismos implicados en un grupo de sujetos adultos con y sin artritis septica (AS) en un centro de tercer nivel de atencion en Mexico. Material y metodos Diseno descriptivo, de tipo transversal analitico en 96 adultos con sospecha clinica de AS en una o mas articulaciones. En todos los casos se realizo artrocentesis y cultivo de liquido sinovial. El grupo de comparacion fueron sujetos con cultivo negativo. Un analisis con estadistica descriptiva y un modelo con regresion logistica binaria se realizo entre las variables asociadas al desarrollo de AS. Un valor de p ≤ 0,05 fue significativo. Resultados Un total de 49/96 sujetos tuvieron cultivo positivo, la mayoria del tipo monoarticular (96%; p = 0,02), principalmente la rodilla (61%; p = 0,06). Las manifestaciones clinicas incluyeron: aumento de volumen (57%; p = 0,01), dolor (59%; p = 0,001) y limitacion de la funcion (51%; p = 0,002). El estafilococo fue el agente etiologico mas comun (65%; p Conclusiones Nuestros resultados son congruentes con estudios previos y pueden generalizarse a zonas geograficas con caracteristicas clinicas similares a las observadas en este estudio. EnglishObjective To describe the history, clinical features and microorganisms involved in a group of adult subjects with and without septic arthritis (SA) at a tertiary care in Mexico. Material and methods A cross-sectional descriptive study was conducted on 96 adults with clinical suspicion of AS in one or more joints. In all cases synovial fluid arthrocentesis and culture was performed. The comparison group subjects were culture negative. A descriptive statistical analysis and binary logistic regression model was performed between the variables associated with the development of AS. A value of P≤.05 was significant. Results A total of 49 out of 96 subjects had a positive culture, mostly of the monoarticular type (96%; P=.02). The knee was the most common site (61%; P=.06) and pain was the main clinical manifestation (59%; P=.001). Staphylococcus was the most common etiological agent (65%; P Conclusions Our results are consistent with previous studies, and can be generalized to geographical areas with similar clinical features to those observed in this study.
Starting Page	27
Ending Page	33
Page Count	7
File Format	PDF HTM / HTML
Volume Number	12
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Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article