Predisposing factors, bacteriology and antibiotic therapy in 35 cases of septic bursitis.
In a retrospective study the etiology was verified in 35/52 patients with suspected septic prepatellar or olecranon bursitis. Staphylococcus aureus was the most common pathogen and 86% of them were penicillinase-producing. Other strains were streptococci. Mean age was 47 (18-83) years and males predominated (91%). Predisposing factors were seen in most cases. Preceding trauma was found in 27 and/or associated diseases (e.g. diabetes mellitus) in 11 patients. Hyperglycemia was found in 38% of the patients. Treatment with antimicrobial agents, mostly penicillins, and bursal drainage were successful in 32 cases. Two patients had local spread of the infection and 1 patient chronic bursitis.
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001424:Bacterial Infections / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D002062:Bursitis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D002444:Cefuroxime / Q000378:metabolism / Q000627:therapeutic use; D048909:Diabetes Complications; D005260:Female; D005436:Floxacillin / Q000378:metabolism / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013290:Streptococcal Infections / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology; D013291:Streptococcus / Q000302:isolation & purification; D014947:Wounds and Injuries / Q000150:complications
D005436:Floxacillin; D002444:Cefuroxime