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. 2021 Nov 9:28:53-57.
doi: 10.1016/j.jor.2021.11.004. eCollection 2021 Nov-Dec.

Predicting adjacent infections in pediatric septic arthritis: Do predictive criteria extrapolate across geographic regions?: Predicting Periarticular Infection in the Southeast

Jordan W Paynter  1 , B Gage Griswold  1 , Pearce W Lane  2 , Daniel W Paré  2 , Rahil A Patel  2 , Michael J Steflik  1 , K Aaron Shaw  3
Affiliations

Predicting adjacent infections in pediatric septic arthritis: Do predictive criteria extrapolate across geographic regions?: Predicting Periarticular Infection in the Southeast

Jordan W Paynter et al. J Orthop. .

Abstract

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.

Keywords: Isolated septic arthritis; Pediatric septic arthritis; Periarticular infection; Rosenfeld criteria; Septic arthritis.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Breakdown of included and excluded patients in the study. ICD indicates International Classification of Diseases; ISA, isolated septic arthritis; PAI, periarticular infection; SCD, sickle cell disease; SI, sacroiliac.
See this image and copyright information in PMC

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