Clinical profile of Neonatal septic arthritis in a tertiary care centre in southern India

Dr. N. Muthukumaran

Volume : VII, Issue : XI, November - 2018

Clinical profile of Neonatal septic arthritis in a tertiary care centre in southern India

Dr. N. Muthukumaran

Abstract :

Background: Neonatal septic arthritis needs a special attention due to its subtle signs and symptoms and catastrophic complications. There is little literature regarding their clinical profile and their outcomes. Objectives: The objective was to study the clinical profile of neonates admitted with septic arthritis, their clinical and radiological features. Methodology: Neonates with septic arthritis as assessed by retrospective inpatient records over a period of two years were included. Their clinical and radiological features were studied. Results: Data of 90 neonates admitted with septic arthritis were collected. Single joint involvement was common (81.1%), and hip joint was the most common joint involved (34.4%). Gram–negative organisms were predominant and Klebsiella was the most common organism isolated from blood culture followed by Staphylococcus aureus. Conclusions: Most neonates had monoarticular joint involvement. Hip joint is being the most commonly involved joint. Ultrasound is a good tool as it detects effusion in all cases. We should focus on clinical examination, early initiation of intravenous antibiotics, early referral to tertiary care centers, timely surgical intervention, and measures to ensure good joint mobility at the time of discharge and regular follow–up of these neonates to achieve best outcomes