Septic arthritis epidemiology and demographics
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [2]
Overview
Septic arthritis is an orthopaedic emergency with potential high morbidity and mortality.
Epidemiology and Demographics
Incidence
- Worldwide, the incidence of septic arthritis ranges from a low of 2 per 100,000 persons/ year to a high of 10 per 100,000 persons/ year[1]
- Worldwide, the Incidence of septic arthritis in patients with history of rheumatoid arthritis and patients with joint prostheses ranges from a low of 30 per 100,000 persons/ year to a high of 70 per 100,000 persons/ year.[2]
- Worldwide, the Incidence of septic arthritis in patients with joint prostheses ranges from a low of 40 per 100,000 persons/ year to a high of 68 per 100,000 persons/ year.
Case Fatality rate
- The case-fatality rate of septic arthritis is estimated to be 10-25%.[3]
- Even after survival from septic arthritis, 25-50% of the patients suffer from irreversible loss of joint function.[4][5]
Age
- Gonococcal arthritis is more common in reproductive age group.
- Non gonococcal arthritis is more common in extreme age groups such as age >80 years or children <2 years.[6]
Gender
- In comparison to male, female have a four-fold increased risk of predisposition to gonococcal arthritis due to the asymptomatic nature of gonorrheal infection in women.
- Poly-articular septic arthritis (PASA) is more common in men when compared to women.[6]
References
- ↑ Morgan DS, Fisher D, Merianos A, Currie BJ (1996) An 18 year clinical review of septic arthritis from tropical Australia. Epidemiol Infect 117 (3):423-8. PMID: 8972665
- ↑ Kaandorp CJ, Van Schaardenburg D, Krijnen P, Habbema JD, van de Laar MA (1995) Risk factors for septic arthritis in patients with joint disease. A prospective study. Arthritis Rheum 38 (12):1819-25. PMID: 8849354
- ↑ Goldenberg DL, Reed JI (1985) Bacterial arthritis. N Engl J Med 312 (12):764-71. DOI:10.1056/NEJM198503213121206 PMID: 3883171
- ↑ Kaandorp CJ, Krijnen P, Moens HJ, Habbema JD, van Schaardenburg D (1997) The outcome of bacterial arthritis: a prospective community-based study. Arthritis Rheum 40 (5):884-92. <884::AID-ART15>3.0.CO;2-6 DOI:10.1002/1529-0131(199705)40:5<884::AID-ART15>3.0.CO;2-6 PMID: 9153550
- ↑ Bengtson S, Knutson K (1991) The infected knee arthroplasty. A 6-year follow-up of 357 cases. Acta Orthop Scand 62 (4):301-11. PMID: 1882666
- ↑ 6.0 6.1 Dubost JJ, Fis I, Denis P, Lopitaux R, Soubrier M, Ristori JM et al. (1993) Polyarticular septic arthritis. Medicine (Baltimore) 72 (5):296-310. PMID: 8412643