title: [Septic arthritis of undetermined origin in children: a proposal for the assessment and its therapy].
abstract: Septic arthritis is not a frequent, but quite classical pathology in children. It can be followed by a severe outcome in case of delayed and/or inadequate treatment. The drainage of the infected joint associated with a prompt and adapted antibiotherapy are together the cornerstones of this treatment. The isolation and identification of the causative microorganism is also of the highest importance. Up to now, unfortunately, a large proportion of septic arthritis are treated by antibiotics although all culture remain negative. This paper has two objectives: one is to present the different steps to optimize the assessment and diagnosis; the second, to increase the sensitivity of the pathogen identification. At last, we present our proposal for empirical antibiotherapy.
authors.forename: G
authors.initials: G
authors.lastname: Biondolillo
authors.forename: P
authors.initials: P
authors.lastname: Caprasse
authors.forename: O
authors.initials: O
authors.lastname: Battisti
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000188:drug therapy*; D002675:Child, Preschool; D004359:Drug Therapy, Combination; D005260:Female; D005436:Floxacillin / Q000008:administration & dosage; D006801:Humans; D012293:Rifampin / Q000008:administration & dosage; D013582:Synovial Fluid / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D005436:Floxacillin; D012293:Rifampin