PURPOSE: This study aims to assess previously determined predictive criteria for presence of adjacent infection in septic arthritis within a Southeastern United States (US) pediatric population. RESULTS: The sensitivity, specificity, positive predictive value, and negative predictive value of the Rosenfeld criteria were: 91.7%, 22.7%, 39.3%, and 83.3%, respectively. The patients with periarticular infection were more likely to have positive blood cultures than those with isolated septic arthritis. There was no difference in likelihood of secondary surgical intervention. CONCLUSIONS: Previously defined criteria to predict adjacent infection in pediatric septic arthritis did not demonstrate external validity in a Southeastern US pediatric population.
PURPOSE: This study aims to assess previously determined predictive criteria for presence of adjacent infection in septic arthritis within a Southeastern United States (US) pediatric population. RESULTS: The sensitivity, specificity, positive predictive value, and negative predictive value of the Rosenfeld criteria were: 91.7%, 22.7%, 39.3%, and 83.3%, respectively. The patients with periarticular infection were more likely to have positive blood cultures than those with isolated septic arthritis. There was no difference in likelihood of secondary surgical intervention. CONCLUSIONS: Previously defined criteria to predict adjacent infection in pediatric septic arthritis did not demonstrate external validity in a Southeastern US pediatric population.
Authors: Hilton P Gottschalk; Molly A Moor; Abd R Muhamad; Dennis R Wenger; Burt Yaszay Journal: J Pediatr Orthop Date: 2014 Apr-May Impact factor: 2.324
Authors: Johanna Monsalve; J Herman Kan; Erica K Schallert; George S Bisset; Wei Zhang; Scott B Rosenfeld Journal: AJR Am J Roentgenol Date: 2015-06 Impact factor: 3.959
Authors: Omar A Gafur; Lawson A B Copley; S Tyler Hollmig; Richard H Browne; Lori A Thornton; Shellye E Crawford Journal: J Pediatr Orthop Date: 2008 Oct-Nov Impact factor: 2.324