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Stage-dependant management of septic arthritis of the shoulder in adults
International Orthopaedics, 07/10/08
Kirchhoff C et al. - Arthroscopic procedures can be effective when implemented early. With regard to implants and chronic symptoms, primary removal should be critically reconsidered.
Methods- Aim was to determine the diagnostic and therapeutic standards relating to septic conditions of the shoulder
- Pts suffering from septic shoulder arthritis were prospectively enrolled
- Staging was based on the criteria of Gächter and assessment of functional outcome was based on a self-assessed Constant score
- Pts were separated into 3 groups according to the CEBI-classification
- 43 pts were enrolled
- Group I contained 21% of pts, while 23% were assigned to group II, and 56% to group III
- Staphylococcus aureus was found in 71%
- 8 pts were treated arthroscopically, and 35 received open surgery
- None of the implants could be preserved
- The mean self-assessed Constant score after 7 mos was 74±9 points in group I, 63±14 points in group II, and 53±14 points in group III
- Diagnostic work-up consisted of laboratory analysis including CRP and joint aspiration
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Correlation between Vancomycin MIC Values and Those of Other Agents against Gram-Positive Bacteria among Patients with Bloodstream Infections Caused by Methicillin-Resistant Staphylococcus aureus
Antimicrobial Agents and Chemotherapy, 12/03/09
Detection of Chlamydia trachomatis- DNA in synovial fluid: evaluation of the sensitivity of different DNA extraction methods and amplification systems
Arthritis Research & Therapy, 11/25/09
CD23 mediates anti-mycobacterial activity of human macrophages
Infection and Immunity, 10/20/09
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