Short duration antibiotic therapy for native joint arthritis caused byNeisseriainfection?

Abstract

Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

Response to: ‘Short duration antibiotic therapy for native joint arthritis cause byNeisseriainfection?’ by Durcourset al

“…2 Ducours et al reveal a similar experience with a short duration of targeted systemic antibiotic therapy for adult native joint bacterial arthritis due to gonococci and meningococci. 1 There are substantial differences between our both studies: (1) Our arthritis episodes (majority hand arthritis) included all pyogenic bacteria, but not gonococci. In contrast, the Ducours group reports only Neisseria spp.…”

“…We read with great interest the contribution of Ducours et al 1 to our article, 2 which randomised adult patients with native joint septic arthritis to either 2 or 4 weeks of systemic targeted antibiotic therapy after surgical drainage. 2 Ducours et al reveal a similar experience with a short duration of targeted systemic antibiotic therapy for adult native joint bacterial arthritis due to gonococci and meningococci.…”

“…Nevertheless, although investigating the most easily treatable bacterial pathogen in septic arthritis, 4 Ducours et al underline the possibility of a short antibiotic treatment for septic arthritis, 5 even in bacteraemic cases. 1 This is important, because long parenteral antibiotic therapies (eg, 4 weeks) are still being reported for neisserial infections. 8 We therefore congratulate our colleagues for their study and encourage other researchers to perform prospective trials aiming at the optimisation of systemic antibiotic treatment for adult native joint septic arthritis.…”