Septic (infectious) Arthritis: Management

Question 1

Septic (infectious) Arthritis: Management

Answer 1

1. Broad spectrum IV antibiotics started promptly
2. The synovial fluid is monitored for sterility and decrease in WBC
3. Aspiration of the joint with needle to remove excessive fluid, exudate, and debris
4. Arthrotomy or Arthroscopy is used to drain the joint and remove dead tissue
5. Inflamed joint is supported and immobilized in a functional position by a splint that increases the patient’s comfort
6. Analgesics (codeine) may be prescribed to control pain
7. After the infection has responded to antibiotic therapy, NSAIDs may be prescribed to limit joint damage
8. Monitor patient’s nutrition and fluid status
9. Progressive ROM exercises
10. Promote healing through aseptic dressing changes and proper wound care
11. Health education about
    - The disease
    - Supporting the affected joint

• Adhering to the prescribed antibiotic regimen
• Inspecting the skin
• Observing weight bearing activity restrictions
• The possibility of recurrence of infection