Annals of Emergency Medicine
Volume 54, Issue 5 , Pages 695-700 , November 2009

How Common is MRSA in Adult Septic Arthritis?

Presented as an abstract at the Western Regional Society of Academic Emergency Medicine meeting, January 2009, Park City, UT; and the National Society of Academic Medicine meeting, May 2009, New Orleans, LA.

  • Bradley W. Frazee, MD

      Affiliations

    • Department of Emergency Medicine, Alameda County Medical Center–Highland Campus, Oakland, CA
    • Department of Emergency Medicine, University of California San Francisco, San Francisco, CA
    • Corresponding Author InformationAddress for correspondence: Bradley W. Frazee, MD, Department of Emergency Medicine, Alameda County Medical Center–Highland Campus, Oakland, CA 94602; 510-437-8323, fax 510-437-8322
    • ,
  • Christopher Fee, MD

      Affiliations

    • Department of Emergency Medicine, University of California San Francisco, San Francisco, CA
    • ,
  • Larry Lambert, MPH

      Affiliations

    • Department of Emergency Medicine, Alameda County Medical Center–Highland Campus, Oakland, CA

Received 25 March 2009 ,Revised 13 June 2009 ,Accepted 24 June 2009.

References 

  1. Ross JJ. Septic arthritis. Infect Dis Clin North Am. 2005;19:799–817
  2. Margaretten ME, Kohlwes J, Moore D, et al. Does this adult patient have septic arthritis?. JAMA. 2007;297:1478–1488
  3. Dubost JJ, Soubrier M, De Champs C, et al. No changes in the distribution of organisms responsible for septic arthritis over a 20 year period. Ann Rheum Dis. 2002;61:267–269
  4. Moran GJ, Krishnadasan A, Gorwitz RJ, et al. Methicillin-resistant S. aureus infections among patients in the emergency department. N Engl J Med. 2006;355:666–674
  5. Kaplan SL, Hulten KG, Gonzalez BE, et al. Three-year surveillance of community-acquired Staphylococcus aureus infections in children. Clin Infect Dis. 2005;40:1785–1791
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  7. Frazee BW, Lynn J, Charlebois ED, et al. High prevalence of methicillin-resistant Staphylococcus aureus in emergency department skin and soft tissue infections. Ann Emerg Med. 2005;45:311–320
  8. Hughes JG, Vetter EA, Patel R, et al. Culture with BACTEC Peds Plus/F bottle compared with conventional methods for detection of bacteria in synovial fluid. J Clin Microbiol. 2001;39:4468–4471
  9. Gupta MN, Sturrock RD, Field M. Prospective comparative study of patients with culture proven and high suspicion of adult onset septic arthritis. Ann Rheum Dis. 2003;62:327–331
  10. Rice PA. Gonococcal arthritis (disseminated gonococcal infection). Infect Dis Clin North Am. 2005;19:853–861
  11. Ang-Fonte GZ, Rozboril MB, Thompson GR. Changes in nongonococcal septic arthritis: drug abuse and methicillin-resistant Staphylococcus aureus. Arthritis Rheum. 1985;28:210–213
  12. Mathews CJ, Coakley G. Septic arthritis: current diagnostic and therapeutic algorithm. Curr Opin Rheumatol. 2008;20:457–462
  13. Fridkin SK, Hageman JC, Morrison M, et al. Methicillin-resistant Staphylococcus aureus disease in three communities. N Engl J Med. 2005;352:1436–1444
  14. Arnold SR, Elias D, Buckingham SC, et al. Changing patterns of acute hematogenous osteomyelitis and septic arthritis: emergence of community-associated methicillin-resistant Staphylococcus aureus. J Pediatr Orthop. 2006;26:703–708
  15. Kallarackal G, Lawson TM, Williams BD. Community-acquired septic arthritis due to methicillin-resistant Staphylococcus aureus. Rheumatology (Oxford). 2000;39:1304–1305
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  17. Ross JJ, Davidson L. Methicillin-resistant Staphylococcus aureus septic arthritis: an emerging clinical syndrome. Rheumatology (Oxford). 2005;44:1197–1198
  18. Zink B. Bone and joint infections. In:  Marx J,  Hockberger R,  Walls R, et al. editor. Emergency Medicine. 6th ed.. Philadelphia, PA: Mosby Elsevier; 2006;
  19. In:  Gilbert D,  Moellering R,  Eliopoulos G editor. The Sanford Guide to Antimicrobial Therapy 2008. 38th ed.. Sperryville, VA: Antimicrobial Therapy, Inc; 2008;

 Supervising editor: Gregory J. Moran, MD

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement.

 Author contributions: BWF and CF conceived and designed the study. BWF, CF, and LL collected and analyzed the data. CF performed the statistical analysis. BWF and CF drafted the article, and all authors contributed substantially to its revision. BWF takes responsibility for the paper as a whole.

 Publication date: Available online August 8, 2009.

 Reprints not available from the authors.

PII: S0196-0644(09)01142-1

doi: 10.1016/j.annemergmed.2009.06.511

Annals of Emergency Medicine
Volume 54, Issue 5 , Pages 695-700 , November 2009

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