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.
Guidelines/recommendations/consensus paper
| 
12 Jan 2023
Guidelines/recommendations/consensus paper |
| 12 Jan 2023
| 12 Jan 2023
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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27 citations as recorded by crossref.
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- The Cytological Energy Detection of Purulent Inflammation in Synovial Fluid Is Not All Black and White P. Kelbich et al. 10.3390/biomedicines12030667
- Clinical Utility of a Multiplex PCR Panel (BioFire Joint Infection®) in the Adjustment of Empiric Antimicrobial Therapy: Experience in Pediatric Osteoarticular Infections C. Udaondo et al. 10.3390/children11101236
- Off-Label Use of Dalbavancin in Enterococcus spp. Abscess and Streptococcus pneumoniae Bacteremia Secondary to Septic Arthritis: A Retrospective Case Report M. Morkos et al. 10.3390/pharma3040021
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- Paediatric bone and joint infections: a guide from diagnosis to management M. Mifsud & M. McNally 10.1016/j.mporth.2023.09.004
- Arthroscopy or arthrotomy for native knee septic arthritis: A systematic review D. McKenna et al. 10.1002/jeo2.12041
- Uncommon Septic Arthritis of the Hip Joint in an Immunocompetent Adult Patient Due to Bacillus pumilus and Paenibacillus barengoltzii Managed with Long-Term Treatment with Linezolid: A Case Report and Short Literature Review R. Cismasiu et al. 10.3390/ph16121743
- SPILF update on bacterial arthritis in adults and children J. Stahl et al. 10.1016/j.idnow.2023.104694
- Administering Antibiotics for Less Than Four Weeks Increases the Risk of Relapse in Culture-Positive Septic Arthritis of Native Joints E. Joo et al. 10.3390/jcm12216808
- Advanced imaging shows extra-articular abscesses in two out of three adult patients with septic arthritis of the native hip joint J. Cools et al. 10.5194/jbji-9-27-2024
- Development and evaluation of automated synovial fluid total cell count on an Iris iQ® 200 for identifying patients at risk of septic arthritis L. Ruffier d’Epenoux et al. 10.1007/s10096-023-04628-3
- Methicillin Resistance Increased the Risk of Treatment Failure in Native Joint Septic Arthritis Caused by Staphylococcus aureus J. Kim et al. 10.3390/antibiotics12111628
- Predictive value of joint fluid volume on advanced pre-procedure imaging related to success of arthrocentesis and presence of septic arthritis L. Miley et al. 10.1007/s10140-024-02244-y
- Management of septic arthritis and prosthetic joint infection L. Sharoff et al. 10.12968/hmed.2023.0219
- Clinical and radiological septic joint analysis of spontaneous sternoclavicular joint infections: achieving the best outcomes—a systems engineering approach T. Pothini et al. 10.1093/ejcts/ezae128
- Native Joint Septic Arthritis K. Wu et al. 10.3390/antibiotics13070596
- Bacterial (Septic) Arthritis B. Belov & N. Muravyeva 10.37489/0235-2990-2023-68-3-4-84-91
- Prevalence of Infective Endocarditis among Patients with Staphylococcus aureus Bacteraemia and Bone and Joint Infections M. Papadimitriou-Olivgeris et al. 10.3390/microorganisms12020342
- 当院の化膿性膝関節炎の治療指針 貴. 神崎 et al. 10.5035/nishiseisai.73.621
- Consensus on the definition and criteria for failure of surgical treatment in bacterial arthritis of a native joint: An international Delphi study A. Walinga et al. 10.1002/ksa.12027
- Severe acute localized reactions after intra-articular hyaluronic acid injections: a narrative review and physician’s guide to incidence, prevention, and management of these adverse reactions D. Humphries et al. 10.1016/j.jcjp.2024.100187
- Tuberculous arthritis of native joints – a systematic review and European Bone and Joint Infection Society workgroup report L. Marais et al. 10.5194/jbji-8-189-2023
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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...
