Native septic arthritis is not an immediate surgical emergency

Lauper, Nicolas; Davat, Marie; Gjika, Ergys; Müller, C.; Belaieff, Wilson; Pittet, Didier; Lipsky, Benjamin A.; Hannouche, Didier; Uçkay, İlker

doi:10.1016/j.jinf.2018.02.015

Cited by 34 publications

(32 citation statements)

References 33 publications

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“…31 Third, outcomes of post-melioidosis sequelae, such as those following sepsis/septic shock, CNS infection and MSK infection, had very limited data available, and were therefore extracted through review of additional literature. [16][17][18][19] These post-infectious sequelae were modelled on the remaining life expectancy of survivors and a shortened life expectancy was not accounted for.…”

Section: Discussionmentioning

confidence: 99%

“…Oral antibiotic treatment was considered as an additional health state in non-fatal cases. Post-infectious sequelae data for melioidosis were also extracted from additional literature searches for sepsis and septic shock, 16 ongoing neurologic impairment, 17 and ongoing MSK problems, 18,19 which were validated against expert opinion. These models allowed quantification of global burden of melioidosis as expressed in DALYs.…”

Section: Study Design and Proceduresmentioning

confidence: 99%

“…All surviving patients were assumed to receive antibiotic treatment, while the probabilities of developing post-infectious sequelae among surviving cases were derived from the literature. [16][17][18][19] Disability weights were derived from the Global Burden of Disease study. 20 YLLs, YLDs and post-infectious sequelae were calculated using the WHO standard life expectancy table, 23 while the GBD standard life expectancy table 12 was used in a scenario analysis.…”

Section: Study Design and Proceduresmentioning

confidence: 99%

“…Sequelae data on post-acute melioidosis consequences were also extracted from additional literature searches for sepsis and septic shock, 16 ongoing neurologic impairment, 17 and ongoing MSK problems. 18,19 Abbreviations: CNS= central nervous system; MSK= musculoskeletal; UTI= urinary tract infection; SSTI= skin soft tissue infection.…”

Section: Figure Legends Figure 1: Simplified Disease Model Used To Esmentioning

confidence: 99%

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Global burden of melioidosis in 2015: a systematic review and data synthesis

Birnie

Virk

Savelkoel

et al. 2019

The Lancet Infectious Diseases

111

124

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Background Melioidosis, caused by the environmental bacterium Burkholderia pseudomallei, is an oftenfatal infectious disease with a high prevalence across tropical areas. Clinical presentation can vary from abscess formation to pneumonia and septicaemia. We assessed the global burden of melioidosis, expressed in disability-adjusted life years (DALYs), for the year 2015. Methods A systematic review of the peer-reviewed literature for human melioidosis cases between 1990 and 2015 was performed. Using a broad search strategy, no language restrictions and combinations of search terms, Burkholderia spp. and disease names, all relevant articles were screened on title, abstract, and full text. Quantitative data from cases including mortality, age, sex, infectious and post-infectious sequelae, antibiotic treatment and symptom duration were extracted. This information was then combined with established disability weights and expert panel discussions to construct an incidence-based disease model. The disease model was integrated with established global incidence and mortality estimates to calculate global melioidosis DALYs. Findings 2 888 articles were screened, of which 475 eligible studies containing quantitative information were retained. Sepsis/septic shock and pneumonia were the most common outcomes, occurring in 18.0% (1526/8469), 12.1% (1004/8298) and 35.7% (3633/10175) of patients respectively. The male to female ratio of infection was 2:1. We estimate that in 2015, the global burden of melioidosis was 4•6 million DALYs (UI 3•2-6•6) or 84•3 per 100 000 people (UI 57•5-120•0). Years of life lost (YLL) accounted for 98•9% (UI 97•7-99•5) of the total DALYs. Interpretation Our estimates enable comparison with other tropical diseases which are already recognised as neglected and give policy makers the information necessary to reconsider melioidosis as a major neglected tropical disease.

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Section: Discussionmentioning

confidence: 99%

Section: Study Design and Proceduresmentioning

confidence: 99%

Section: Study Design and Proceduresmentioning

confidence: 99%

Section: Figure Legends Figure 1: Simplified Disease Model Used To Esmentioning

confidence: 99%

See 2 more Smart Citations

Global burden of melioidosis in 2015: a systematic review and data synthesis

Birnie

Virk

Savelkoel

et al. 2019

The Lancet Infectious Diseases

111

124

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“…Der fehlende "0-Punkt" (Schädigungsbeginn) verstärkt die (pathophysiologisch hergeleitete) Dringlichkeit, die aber nicht sicher quantifizierbar ist. Große Kohorten zeigen jedoch auch gute Ergebnisse bei weniger Invasivität und Dringlichkeit der therapeutischen Maßnahmen [20]. Schenkelhalsfrakturen bei < 50-Jährigen "Expedited (< 24 h)", Klassifikation 3a nach TACS, LoE für die Klassifikation: 1b Die befürchteten Komplikationen, sowohl die avaskuläre Nekrose (AVN) als auch die Nonunion (NU) sind auch gleichzeitig die Endpunkte klinischer Studien und Metaanalysen zu dieser Verletzung und ihrer Versorgungsdringlichkeit [24].…”

Section: Akute Traumatische Extremitätenischämieunclassified

Scientific Backgrounds for the Timing of Acute Care Surgery

et al. 2019

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The correct timing of urgent surgery in the field of orthopedic and trauma surgery is under constant discussion. The authors of this review like to present a scientific based recommendation for the timing of acute care surgery using the TACS-classification for the description of urgency. The timing and priority of the indicated procedure is deduced only from the expected mortality and disability caused by a potential delay. A proposal for a nomenclature is given to be integrated in the clinical practice and to be completed.

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Adult Septic Arthritis

Ferguson

2023

Evidence‐Based Emergency Care

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Native septic arthritis is not an immediate surgical emergency

Abstract: Our data suggest that for native septic arthritis, in the absence of clinical sepsis immediate joint drainage does not appear to reduce the risk of sequelae compared with delayed drainage.

Cited by 34 publications

References 33 publications

Global burden of melioidosis in 2015: a systematic review and data synthesis

Global burden of melioidosis in 2015: a systematic review and data synthesis

Scientific Backgrounds for the Timing of Acute Care Surgery

Adult Septic Arthritis

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