Articles | Volume 8, issue 1
https://doi.org/10.5194/jbji-8-29-2023
© Author(s) 2023. This work is distributed under
the Creative Commons Attribution 4.0 License.
the Creative Commons Attribution 4.0 License.
https://doi.org/10.5194/jbji-8-29-2023
© Author(s) 2023. This work is distributed under
the Creative Commons Attribution 4.0 License.
the Creative Commons Attribution 4.0 License.
Guideline for management of septic arthritis in native joints (SANJO)
Dept. of Orthopaedic Surgery and Traumatology, Aarhus University
Hospital, Aarhus, Denmark
Members of the Steering Committee for the EBJIS Guideline Project on SANJO
Jeroen Neyt
CORRESPONDING AUTHOR
Dept. of Orthopedic Surgery, University Hospitals Ghent, Ghent, Belgium
Members of the Steering Committee for the EBJIS Guideline Project on SANJO
Natividad Benito
Dept. of Infectious Diseases, Hospital de la Santa Creu i Sant Pau,
Barcelona, Spain
Members of the Steering Committee for the EBJIS Guideline Project on SANJO
Miguel Araújo Abreu
Dept. of Infectious Diseases, Centro Hospitalar do Porto, Porto, Portugal
Yvonne Achermann
Dept. of Internal Medicine, Hospital Zollikerberg, Zürich, Switzerland
Svetlana Bozhkova
Dept. of Prevention and Treatment of Wound Infection, Vreden National Medical Research Center of Traumatology and Orthopedics, St. Petersburg, Russia
Liselotte Coorevits
Dept. of Clinical Microbiology, University Hospitals Ghent, Ghent, Belgium
Matteo Carlo Ferrari
Dept. of Internal Medicine, IRCCS Ospedale Galeazzi Sant'Ambrogio,
Milano, Italy
Karianne Wiger Gammelsrud
Dept. of Clinical Microbiology, University Hospital Oslo, Oslo, Norway
Ulf-Joachim Gerlach
Dept. of Septic Orthopedic Surgery and Traumatology, BG Klinikum
Hamburg, Hamburg, Germany
Efthymia Giannitsioti
Dept. of Infectious Diseases, Attikon University General Hospital,
Athens, Greece
Martin Gottliebsen
Dept. of Orthopaedic Surgery and Traumatology, Aarhus University
Hospital, Aarhus, Denmark
Nis Pedersen Jørgensen
Dept. of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark
Tomislav Madjarevic
Dept. of Orthopaedic Surgery Lovran, University of Rijeka, Rijeka, Croatia
Leonard Marais
Dept. of Orthopaedic Surgery, University of KwaZulu-Natal, Durban, South Africa
Aditya Menon
Dept. of Orthopaedics, P.D. Hinduja Hospital and Medical Research
Centre, Mumbai, India
Dirk Jan Moojen
Dept. of Orthopaedic and Trauma Surgery, OLVG Amsterdam, Amsterdam, the Netherlands
Markus Pääkkönen
Dept. of Orthopaedics and Traumatology, Turku University Hospital,
Turku, Finland
Marko Pokorn
Dept. of Infectious Diseases, Ljubjana University Medical Center,
Ljubjana, Slovenia
Daniel Pérez-Prieto
Dept. of Orthopaedic Surgery and Traumatology, Hospital del Mar,
Barcelona, Spain
Nora Renz
Dept. of Infectious Diseases, Bern University Hospital, Bern, Switzerland
Jesús Saavedra-Lozano
Dept. of Pediatric Infectious Diseases Unit, Gregorio Marañón
Hospital, Madrid, Spain
Marta Sabater-Martos
Dept. of Orthopaedic Surgery and Traumatology, Hospital Clínic,
Barcelona, Spain
Parham Sendi
Dept. of Infectious Diseases, University Hospital of Basel, Basel, Switzerland
Institute for Infectious Diseases, University of Bern, Bern, Switzerland
Staffan Tevell
Dept. of Infectious Diseases, Karlstad Hospital and Centre for Clinical
Research, Karlstad, Sweden
Charles Vogely
Dept. of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, the
Netherlands
Members of the Steering Committee for the EBJIS Guideline Project on SANJO
Alex Soriano
Dept. of Infectious Diseases, Hospital Clínic, Barcelona, Spain
Members of the Steering Committee for the EBJIS Guideline Project on SANJO
A full list of authors appears at the end of the paper.
Editorial note: The supplement to this article was adjusted on 2 February 2023. The section "Workshop report 7" was shortened.
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Short summary
Management of septic arthritis in native joints (SANJO) is often conducted by clinicians of different specialties, experience levels, and at all hours of the day. The SANJO guideline group makes evidence-based recommendations for diagnosis, microbiological investigation, initial surgery, empirical antibiotic treatment, early mobilization, evaluation of outcomes, and treatment failure. Special considerations were made for children, tuberculosis, and SANJO after cruciate ligament reconstruction.
Management of septic arthritis in native joints (SANJO) is often conducted by clinicians of...