Bacilii Gram negativi: Pseudomonas aeruginosa si Escherichia Coli afecteaza mai frecvent persoanele varstnice cu infectii de tract urinar, imunitate compromisa. Hemophilus influenzae apare mai frecvent la copii. Germeni anaerobi — Clostridium perfringens, Bacteroides fragillis. Agentii implicati mai frecvent difera in functie de timpul trecut de la momentul protezarii: In primele 3 luni de la protezare cea mai frecventa cauza este Stafilococul auriu Intre 3 luni si 2 ani de la protezare, cel mai frecvent implicat este Stafilococul epidermidis Dupa 2 ani de la protezare, agentii patogeni sunt similari cu cei care dau infectii pe o articulatie normala. O categorie aparte de artrite septice sunt determinate de infectiile atipice cu Brucella si mycobacterii M.
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How Is Infectious Arthritis Treated? Prescription Drugs Treatment for infectious arthritis caused by a bacteria usually begins with antibiotics to kill the bacteria causing the infection. The infection needs to be treated promptly and aggressively to prevent osteoarthritis and damage to your joint. As a result, your doctor may order intravenous antibiotics, which are given through your veins. This treats the infection more quickly than oral antibiotics.
Most people begin to feel better within 48 hours of their first antibiotic treatment. Your doctor may also prescribe oral antibiotics to treat the infection. Oral antibiotics for infectious arthritis usually need to be taken for six to eight weeks. Your doctor will prescribe antifungal medication instead of antibiotics if a fungus is causing your infection. Synovial Fluid Drainage Many people with infectious arthritis need to have their synovial fluid drained.
This is done to remove the infected fluid, ease pain and swelling, and prevent further damage to the joint. Synovial fluid is often drained using arthroscopy, but it can be done in an open surgical procedure. With arthroscopy, your doctor will make several small incisions near the affected joint.
Your doctor will use the camera image to guide them in suctioning the infected fluid from your joint. Usually, a drain or tube will be inserted and left in the joint to keep the joint from swelling again.
This drain is then removed in a few days. Sometimes, a doctor can use a small needle to remove infected fluid without requiring surgery. This is called arthrocentesis. This procedure often has to be repeated over the course of several days to ensure the fluid has been removed.
Other Treatment Options Most cases of infectious arthritis require surgery, such as arthroscopy or an open procedure, to wash out the joint. On occasion, surgery is required to remove any damaged sections of the joint or replace the joint, but this is only done after the infection has been treated.
Other treatment methods to reduce pain may be used along with treatment for the infection. These methods include: using nonsteroidal anti-inflammatory drugs.
Artrita septica (artrita bacteriana)
A propósito da Artrite Séptica
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