Ann Rheum Dis 1997;56:470-475 ( August )

Extended reports

Incidence and sources of native and prosthetic joint infection: a community based prospective survey Carola J E Kaandorp, Huibert J Dinant, Mart A F J van de Laar, Hein J Bernelot Moens, A Pieter A Prins, Ben A C Dijkmans

Jan van Breemen Institute for Rheumatology and Rehabilitation, Amsterdam, the Netherlands

Correspondence to: Dr H J Dinant, Jan van Breemen Institute, Dr J van Breemenstraat 2, 1056 AB Amsterdam, the Netherlands.

Accepted for publication 2 June 1997

OBJECTIVESTo determine the incidence and sources of bacterial arthritis in the Amsterdam health district and the maximum percentage of cases that theoretically would be preventable.
METHODSPatients with bacterial arthritis diagnosed between 1 October 1990 and 1 October 1993 were prospectively reported to the study centre by all 12 hospitals serving the district. Data were gathered on previous health status, source of infection, and microorganisms involved.
RESULTS188 episodes of bacterial arthritis were found in 186 patients. Most of the 38 children were previously healthy. Fifty per cent of the adults were 65 years or older. Of the adults 84% had an underlying disease, in 59% a joint disorder. Joint surgery constituted the largest part of direct infections (33%) and skin defects were the most important source of haematogenous infections (67%). Infection of joints containing prosthetic or osteosynthetic material by a known haematogenous source occurred 15 times (8%). Staphylococcus aureus was the causative organism in 44% of all positive cultures.
CONCLUSIONThe incidence of bacterial arthritis was 5.7 per 100 000 inhabitants per year. Preventive measures directed to patients with prosthetic joints or osteosynthetic material, and a known haematogenous source would have prevented at most 8% of all cases.

---

© 1997 by Annals of the Rheumatic Diseases
CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

• Sivadon-Tardy, V., Roux, A.-L., Piriou, P., Herrmann, J.-L., Gaillard, J.-L., Rottman, M. (2009). Gardnerella vaginalis Acute Hip Arthritis in a Renal Transplant Recipient. J. Clin. Microbiol. 47: 264-265 [Abstract] [Full Text]  
• Whittaker, J. P., Warren, R. E., Jones, R. S., Gregson, P. A. (2009). Is prolonged systemic antibiotic treatment essential in two-stage revision hip replacement for chronic Gram-positive infection?. J Bone Joint Surg Br 91-B: 44-51 [Abstract] [Full Text]  
• Mathews, C J, Kingsley, G, Field, M, Jones, A, Weston, V C, Phillips, M, Walker, D, Coakley, G (2008). Management of septic arthritis: a systematic review. Postgrad. Med. J. 84: 265-270 [Abstract] [Full Text]  
• Geirsson, A J, Statkevicius, S, Vikingsson, A (2008). Septic arthritis in Iceland 1990-2002: increasing incidence due to iatrogenic infections. Ann Rheum Dis 67: 638-643 [Abstract] [Full Text]  
• Forrest, G. N, Donovan, B. J, Lamp, K. C, Friedrich, L. V (2008). Clinical Experience with Daptomycin for the Treatment of Patients with Documented Gram-Positive Septic Arthritis. The Annals of Pharmacotherapy 42: 213-217 [Abstract] [Full Text]  
• Harwood, M. I., Womack, J., Kapur, R. (2008). Primary Meningococcal Arthritis. J Am Board Fam Med 21: 66-69 [Full Text]  
• Mathews, C J, Kingsley, G, Field, M, Jones, A, Weston, V C, Phillips, M, Walker, D, Coakley, G (2007). Management of septic arthritis: a systematic review. Ann Rheum Dis 66: 440-445 [Abstract] [Full Text]  
• Eder, L., Zisman, D., Rozenbaum, M., Rosner, I. (2005). Clinical features and aetiology of septic arthritis in northern Israel. Rheumatology (Oxford) 44: 1559-1563 [Abstract] [Full Text]  
• Shirtliff, M. E., Mader, J. T. (2002). Acute Septic Arthritis. Clin. Microbiol. Rev. 15: 527-544 [Abstract] [Full Text]  
• Dubost, J J, Soubrier, M, De Champs, C, Ristori, J M, Bussiere, J L, Sauvezie, B (2002). No changes in the distribution of organisms responsible for septic arthritis over a 20 year period. Ann Rheum Dis 61: 267-269 [Abstract] [Full Text]  
• SMITH, A.J., JACKSON, M.S., BAGG, J. (2001). The ecology of Staphylococcus species in the oral cavity. J Med Microbiol 50: 940-946 [Abstract] [Full Text]  
• Krijnen, P, Kaandorp, C J E, Steyerberg, E W, van Schaardenburg, D, Moens, H J B., Habbema, J D F (2001). Antibiotic prophylaxis for haematogenous bacterial arthritis in patients with joint disease: a cost effectiveness analysis. Ann Rheum Dis 60: 359-366 [Abstract] [Full Text]  
• Gupta, M. N., Sturrock, R. D., Field, M. (2001). A prospective 2-year study of 75 patients with adult-onset septic arthritis. Rheumatology (Oxford) 40: 24-30 [Abstract] [Full Text]  
• Weston, V C, Jones, A C, Bradbury, N, Fawthrop, F, Doherty, M (1999). Clinical features and outcome of septic arthritis in a single UK Health District 1982-1991. Ann Rheum Dis 58: 214-219 [Abstract] [Full Text]