Abstract
Background. Musculoskeletal sepsis is a region of orthopaedic surgery focused on the diagnosis and treatment of infections involving the bones, joints, muscles, and skin. The objective of our study was to point out things that should be taken into account by physicians faced with probable musculoskeletal sepsis. Materials and methods. A retrospective study was carried out and included all of the orthopaedic patients with positive blood culture between January 1, 2009 and March 31, 2012 who were admitted to the Hospital of Traumatology and Orthopaedics. Results. In total, thirty five patients were hospitalized. Thirty one patients met the criteria for admission to the ICU. The median time spent in the ICU was 8 days with a range from 1 to 70. The source of infection was recognized in twenty five patients, it was not obvious for six patients. Moderate or severe septic shock developed in nineteen (61.3%) patients, twenty four (77.4%) required invasive monitoring, five PICCO monitoring, three of them required continuous haemodialysis. Overall mortality was 19.4% (six patients). 58.1% were artificially ventilated from 1 to 46 days. The main microbial culture was Staphylococcus aureus (45.2%), the second one was Clebsiella pneumoniae (12.9%), the third microbial cultures were Escherichia coli and Enterobacter cloacae (6.5%). More prevalent risk factors were diabetes mellitus, oncologic disease, ischemic heart disease and adipositas. Conclusions. Patients with a history of pain, swollen and tender joints, extremities or back with restriction of movement should be regarded as having septic inflammation until proven otherwise. We should always take into account orthopaedic sepsis if any other source is not obvious.
Downloads
Download data is not yet available.
Most read articles by the same author(s)
-
Laura Lukošienė,
Lina Kalibatienė,
Vidmantas Barauskas,
Intercostal nerve block in pediatric minimally invasive thoracic surgery
,
Acta medica Lituanica: Vol. 19 No. 3 (2012)
-
Saulius CICĖNAS,
Vladislavas VENCEVIČIUS,
Malignant pulmonary neoplasms predisposing to pneumothorax
,
Acta medica Lituanica: Vol. 18 No. 2 (2011)
-
Andrius Brazaitis,
Algirdas Tamošiūnas,
Janina Tutkuvienė,
Patellofemoral joint biomechanics in the females with anterior knee pain applying full weight bearing kinematic MRI
,
Acta medica Lituanica: Vol. 22 No. 1 (2015)
-
Ilona Savlan,
Valentina Liakina,
Jonas Valantinas,
Value of computerized inhibitory control test and blood tests in minimal hepatic encephalopathy diagnosis
,
Acta medica Lituanica: Vol. 20 No. 3 (2013)
-
Rimantas Jankauskas,
Table of Contents and Editorial Board
,
Acta medica Lituanica: Vol. 30 No. 1 (2023): Acta medica Lituanica
-
Andrej Suchomlinov,
Janina Tutkuvienė,
Growth tendencies of the “generation of independence”: the relation between socioeconomic factors and growth indices
,
Acta medica Lituanica: Vol. 20 No. 1 (2013)
-
Darius KAZANAVIČIUS,
Narimantas Evaldas SAMALAVIČIUS,
Iatrogenic colonoscopic perforations: a review of 8 158 patients
,
Acta medica Lituanica: Vol. 19 No. 1 (2012)
-
Rimantas Jankauskas,
Editorial Board and Table of Contents
,
Acta medica Lituanica: Vol. 28 No. 2 (2021): Acta medica Lituanica
-
Jean-Michel Arnal,
How to implement NIV in the ICU?
,
Acta medica Lituanica: Vol. 19 No. 3 (2012)
-
Rimantas Jankauskas,
Bibliographic Data
,
Acta medica Lituanica: Vol. 28 No. 1 (2021): Acta medica Lituanica