They are not intended to replace physician judgment with respect to particular patients or special clinical situations. Guidelines cannot always account for individual variation among patients. Tuberculous arthritis, and (3) in pediatric population. SANJO: (1) after reconstruction of the anterior cruciate ligament, (2) in This guideline also includes specific considerations for Should reveal early signs of treatment failure, which indicates repeated Joint mobilization to avoidĬontracture should be started as soon as possible when infection is underĬontrol and after drains have been removed. The results from microbiology laboratory. Empirical antibiotic treatment shouldīe selected considering the most likely pathogens and targeted according to Recommended for SANJO particularly in larger joints, although open revisionĬould be considered in cases with synovial membrane adhesions or in the Patients with signs of sepsis, empirical antibiotic treatment should awaitĭiagnostic sampling of joint fluid to avoid false negative culture results.Īrthroscopic lavage (with synovectomy, depending on the clinical stage) is Leucocyte count, but most important, for bacterial identification. On aspiration of joint fluid, which initially is analysed for synovial The diagnosis of septic arthritis in native joints (SANJO) is mainly based References can be found in the associated work group report (see the Appendix). The methods, background, and evidence reporting for each recommendation with Recommendations and quality of evidence (Fig. 1). Process of systematic literature search, weighting in the strength of With appointed members of the European Society for Sports Traumatology, Knee SANJO after ACL reconstruction, the recommendations were made in cooperation Work group of international experts was recruited amongst members of theĮuropean Bone and Joint Infection Society (EBJIS), and for the chapter on Grouped these into nine categories as reported below.

Interdisciplinary collaborative project to create a concise evidence-basedĬlinical guideline for the management of SANJO (septicĪ steering committee identified 25 clinical dilemmas related to SANJO and : the European Bone and Joint Infection Society (EBJIS) has initiated this

Synovial fluid in knee joint