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  1. The outcome of bacterial arthritis : A prospective community-based study.

    Article - En anglais

    Objective

    To assess the outcome and adverse prognostic factors of bacterial arthritis (BA).

    Methods

    In a prospective community survey of BA, data were collected at the time of diagnosis and at a mean of 2 years later.

    A poor patient outcome was defined as death due to BA or severe overall functional deterioration.

    A poor joint outcome was defined as amputation, arthrodesis, prosthetic surgery, or severe functional deterioration.

    Possible prognostic factors were analyzed by univariate analysis.

    Results

    BA was diagnosed in 154 patients, 121 adults and 33 children.

    One-half of the adults had a preexisting joint disease and 29% of the infected joints contained synthetic material.

    The patient outcome was poor in 21% of all patients, and the joint outcome was poor in 33% of the surviving patients.

    Adverse prognostic factors were an older age, preexisting joint disease, and an infected joint containing synthetic material.

    These factors were interrelated.

    There was no association between a poor outcome and young age, comorbid-ity, immunosuppressive medication, functional class, multiple infected joints, type of microorganism, or treatment delay.

    Conclusion

    BA had a poor outcome in almost one-half of the patients.

    Patients who were older, had a preexisting joint disease, and/or had an infected joint containing synthetic material had the poorest prognosis.

    Mots-clés Pascal : Arthrite réactionnelle, Infection, Bactérie, Epidémiologie, Incidence, Facteur risque, Pronostic, Indice gravité, Homme, Etude longitudinale, Système ostéoarticulaire pathologie, Rhumatisme inflammatoire, Spondylarthropathie, Bactériose, Pays Bas, Europe

    Mots-clés Pascal anglais : Reactive arthritis, Infection, Bacteria, Epidemiology, Incidence, Risk factor, Prognosis, Severity score, Human, Follow up study, Diseases of the osteoarticular system, Inflammatory joint disease, Spondylarthropathy, Bacteriosis, Netherlands, Europe

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0310829

    Code Inist : 002B05B02J. Création : 15/07/1997.