title: Treatment of septic hip in a pediatric ED: a retrospective case series analysis.
abstract: BACKGROUND
  A pediatric septic hip is a serious condition that must be recognized and treated as early as possible. We describe the clinical course of children with septic hip that were treated with aspiration of the hip joint in the emergency department (AHED).
  
  
  METHODS
  This was a retrospective case series analysis.
  
  
  RESULTS
  Between January 1, 2007, and December 31, 2014, 17 children with septic hip were diagnosed by emergency physicians using point-of-care ultrasonography. All were treated with AHED. During hospital admission, a median of 2 (interquartile range [IQR], 2-3) follow-up sonographic examinations per patient was performed; 10 (59%) patients did not have another hip aspiration, and 7 (41%) had a median of 1 (IQR, 1-3) hip joint aspiration under sedation. Median length of antibiotic treatment was 28 days (IQR, 21-40). No patient underwent arthrotomy, and all recovered without disability in up to 4 years of follow-up.
  
  
  CONCLUSIONS
  The results of this cohort suggest that AHED with repeated aspirations as needed is an effective treatment for children with septic hip.
authors.affiliation: Orthopedic Surgery Department, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Pavel
authors.initials: P
authors.lastname: Kotlarsky
authors.affiliation: Pediatric Emergency Department, Rambam Health Care Campus, Haifa, Israel. Electronic address: i_shavit@rambam.health.gov.il.
authors.forename: Itai
authors.initials: I
authors.lastname: Shavit
authors.affiliation: Pediatric Infectious Disease Unit, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Imad
authors.initials: I
authors.lastname: Kassis
authors.affiliation: Orthopedic Surgery Department, Rambam Health Care Campus, Haifa, Israel; Pediatric Orthopedic Surgery Unit, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Mark
authors.initials: M
authors.lastname: Eidelman
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001170:Arthritis, Infectious / Q000000981:diagnostic imaging / Q000628:therapy*; D000069237:Arthrocentesis / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D019095:Point-of-Care Systems; D012189:Retrospective Studies; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents