Septic arthritis in adults in a tertiary care center.
OBJECTIVE
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.


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<.001). The risk factors revealed in the final regression model were SA the history of joint disease (OR=25; P=.03) and volume increase (OR=13.16; P=.06). Functional limitation (OR=8.54; P=.04) showed a significant risk among borderline for SA.


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.
Hospital de Especialidades N.° 2, Unidad Médica de Alta Especialidad, Centro Médico Nacional del Noroeste, Instituto Mexicano del Seguro Social, Ciudad Obregón, Sonora, México; Departamento de Ciencias de la Salud, Universidad de Sonora, Campus Cajeme, Ciudad Obregón, Sonora, México. Electronic address: jose.ornelas@cajeme.uson.mx.
José Manuel
JM
Ornelas-Aguirre
D000328:Adult; D000368:Aged; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000382:microbiology*; D016015:Logistic Models; D008297:Male; D008487:Medical History Taking; D008800:Mexico; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000209:etiology; D013582:Synovial Fluid / Q000382:microbiology; D062606:Tertiary Care Centers
Arthritis; Articulaciones; Artritis; Joints; Líquido sinovial; Septic; Synovial fluid; Séptico