IDSA: Acute Bacterial Arthritis in Pediatrics

Zusammenfassung

Abstract This clinical practice guideline for the diagnosis and treatment of acute bacterial arthritis (ABA) in children was developed by a multidisciplinary panel representing the Pediatric Infectious Diseases Society (PIDS) and the Infectious Diseases Society of America (IDSA). This guideline is intended for use by healthcare professionals who care for children with ABA, including specialists in pediatric infectious diseases and orthopedics. The panel’s recommendations for the diagnosis and tr

Kerninformationen

s, but in situations where the initial CRP is elevated, this result can serve as the baseline value for sequential monitoring that may guide decision-making regarding duration of antimicrobial therapy. In children with suspected ABA, we suggest against measuring serum procalcitonin ( conditional rec...

clude those with more than 3 or 4 days of symptoms prior to presentation, S. aureus infection, and marked elevation of CRP, but these risk factors require further validation. III. For children with suspected ABA, when should diagnostic invasive procedures be performed to collect synovial fluid from ...

resumed ABA who are ill-appearing or have rapidly progressive infection, we recommend immediately starting empiric antimicrobial therapy (after blood cultures are obtained if possible) rather than withholding antibiotics until invasive diagnostic procedures are performed (strong recommendation, mode...

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