Acute Pyogenic Arthritis Seen In a Tertiary Teaching Hospital in Manipur


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Volume :

3

Issue :

2

Abstract :

Background: Acute pyogenic arthritis continues to be a major orthopaedic problem. The morbidity and mortality of delayed treatment is very significant. Aims & Objectives: To study the aetiology, predisposing factors and to evaluate the factors influencing outcomein the treatment of acute pyogenic arthritis. Methods: Forty-five consecutive cases of acute pyogenic arthritis of various joints of the body presenting to RIMS Hospital, Imphal were admitted and treated either operatively or non-operatively and the outcome of treatment was evaluated using modified Rosenthal et alcriteria.The factors that influenced the outcome were identified and analysed. Results: There were 60% excellent, 15% good, 10% fair and 15%poor results. The median duration of symptoms prior to diagnosis and treatment in excellent group was seven days whereas it was 40 days in poor group. Superficial joints such as knee had better results than deep joints such as hip and shoulder. Infections caused by Staphylococcus aureus produced satisfactory outcome in 78.26% whereas those caused by the Pseudomonas aeruginosa and E.coli produced uniform poor results. Females had a less satisfactory outcome when compared with males. 85% of cases in this study had a minimum of one predisposing factor. Conclusion: Acute pyogenic arthritis continues to be a major health problem.It is a commonly seen clinical entity in day-to-day practice. With prompt and vigorous treatment, the results are not always unsatisfactory. The most important factor influencing final outcome was delay in diagnosis and treatment. A high index of suspicion is necessary because prompt diagnosis followed by vigorous and adequate treatment is the key to successful outcome.

Keyword :

Acute pyogenic arthritis, Factors influencing outcome, Pre-disposing factors.
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