Guideline for management of septic arthritis in native joints (SANJO)

Christen Ravn^{1

2

3}, Jeroen Neyt^{4

2

3}, Natividad Benito^{5

2}, Miguel Araújo Abreu⁶, Yvonne Achermann⁷, Svetlana Bozhkova⁸, Liselotte Coorevits⁹, Matteo Carlo Ferrari¹⁰, Karianne Wiger Gammelsrud¹¹, Ulf-Joachim Gerlach¹², Efthymia Giannitsioti¹³, Martin Gottliebsen¹, Nis Pedersen Jørgensen¹⁴, Tomislav Madjarevic¹⁵, Leonard Marais¹⁶, Aditya Menon¹⁷, Dirk Jan Moojen¹⁸, Markus Pääkkönen¹⁹, Marko Pokorn²⁰, Daniel Pérez-Prieto²¹, Nora Renz²², Jesús Saavedra-Lozano²³, Marta Sabater-Martos²⁴, Parham Sendi^{25

26}, Staffan Tevell²⁷, Charles Vogely^{28

2

29}, Alex Soriano^{30

2

29}, The Sanjo Guideline Group³¹

Affiliations

¹ Dept. of Orthopaedic Surgery and Traumatology, Aarhus University Hospital, Aarhus, Denmark.
² Members of the Steering Committee for the EBJIS Guideline Project on SANJO.
³ shared first authorship.
⁴ Dept. of Orthopedic Surgery, University Hospitals Ghent, Ghent, Belgium.
⁵ Dept. of Infectious Diseases, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
⁶ Dept. of Infectious Diseases, Centro Hospitalar do Porto, Porto, Portugal.
⁷ Dept. of Internal Medicine, Hospital Zollikerberg, Zürich, Switzerland.
⁸ Dept. of Prevention and Treatment of Wound Infection, Vreden National Medical Research Center of Traumatology and Orthopedics, St. Petersburg, Russia.
⁹ Dept. of Clinical Microbiology, University Hospitals Ghent, Ghent, Belgium.
¹⁰ Dept. of Internal Medicine, IRCCS Ospedale Galeazzi Sant'Ambrogio, Milano, Italy.
¹¹ Dept. of Clinical Microbiology, University Hospital Oslo, Oslo, Norway.
¹² Dept. of Septic Orthopedic Surgery and Traumatology, BG Klinikum Hamburg, Hamburg, Germany.
¹³ Dept. of Infectious Diseases, Attikon University General Hospital, Athens, Greece.
¹⁴ Dept. of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.
¹⁵ Dept. of Orthopaedic Surgery Lovran, University of Rijeka, Rijeka, Croatia.
¹⁶ Dept. of Orthopaedic Surgery, University of KwaZulu-Natal, Durban, South Africa.
¹⁷ Dept. of Orthopaedics, P.D. Hinduja Hospital and Medical Research Centre, Mumbai, India.
¹⁸ Dept. of Orthopaedic and Trauma Surgery, OLVG Amsterdam, Amsterdam, the Netherlands.
¹⁹ Dept. of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland.
²⁰ Dept. of Infectious Diseases, Ljubjana University Medical Center, Ljubjana, Slovenia.
²¹ Dept. of Orthopaedic Surgery and Traumatology, Hospital del Mar, Barcelona, Spain.
²² Dept. of Infectious Diseases, Bern University Hospital, Bern, Switzerland.
²³ Dept. of Pediatric Infectious Diseases Unit, Gregorio Marañón Hospital, Madrid, Spain.
²⁴ Dept. of Orthopaedic Surgery and Traumatology, Hospital Clínic, Barcelona, Spain.
²⁵ Dept. of Infectious Diseases, University Hospital of Basel, Basel, Switzerland.
²⁶ Institute for Infectious Diseases, University of Bern, Bern, Switzerland.
²⁷ Dept. of Infectious Diseases, Karlstad Hospital and Centre for Clinical Research, Karlstad, Sweden.
²⁸ Dept. of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.
²⁹ shared last authorship.
³⁰ Dept. of Infectious Diseases, Hospital Clínic, Barcelona, Spain.
³¹ A full list of authors appears at the end of the paper.

PMID: 36756304
PMCID: PMC9901514
DOI: 10.5194/jbji-8-29-2023

Guideline for management of septic arthritis in native joints (SANJO)

Christen Ravn et al. J Bone Jt Infect. 2023.

. 2023 Jan 12;8(1):29-37.

doi: 10.5194/jbji-8-29-2023. eCollection 2023.

Authors

Affiliations

¹ Dept. of Orthopaedic Surgery and Traumatology, Aarhus University Hospital, Aarhus, Denmark.
² Members of the Steering Committee for the EBJIS Guideline Project on SANJO.
³ shared first authorship.
⁴ Dept. of Orthopedic Surgery, University Hospitals Ghent, Ghent, Belgium.
⁵ Dept. of Infectious Diseases, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
⁶ Dept. of Infectious Diseases, Centro Hospitalar do Porto, Porto, Portugal.
⁷ Dept. of Internal Medicine, Hospital Zollikerberg, Zürich, Switzerland.
⁸ Dept. of Prevention and Treatment of Wound Infection, Vreden National Medical Research Center of Traumatology and Orthopedics, St. Petersburg, Russia.
⁹ Dept. of Clinical Microbiology, University Hospitals Ghent, Ghent, Belgium.
¹⁰ Dept. of Internal Medicine, IRCCS Ospedale Galeazzi Sant'Ambrogio, Milano, Italy.
¹¹ Dept. of Clinical Microbiology, University Hospital Oslo, Oslo, Norway.
¹² Dept. of Septic Orthopedic Surgery and Traumatology, BG Klinikum Hamburg, Hamburg, Germany.
¹³ Dept. of Infectious Diseases, Attikon University General Hospital, Athens, Greece.
¹⁴ Dept. of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.
¹⁵ Dept. of Orthopaedic Surgery Lovran, University of Rijeka, Rijeka, Croatia.
¹⁶ Dept. of Orthopaedic Surgery, University of KwaZulu-Natal, Durban, South Africa.
¹⁷ Dept. of Orthopaedics, P.D. Hinduja Hospital and Medical Research Centre, Mumbai, India.
¹⁸ Dept. of Orthopaedic and Trauma Surgery, OLVG Amsterdam, Amsterdam, the Netherlands.
¹⁹ Dept. of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland.
²⁰ Dept. of Infectious Diseases, Ljubjana University Medical Center, Ljubjana, Slovenia.
²¹ Dept. of Orthopaedic Surgery and Traumatology, Hospital del Mar, Barcelona, Spain.
²² Dept. of Infectious Diseases, Bern University Hospital, Bern, Switzerland.
²³ Dept. of Pediatric Infectious Diseases Unit, Gregorio Marañón Hospital, Madrid, Spain.
²⁴ Dept. of Orthopaedic Surgery and Traumatology, Hospital Clínic, Barcelona, Spain.
²⁵ Dept. of Infectious Diseases, University Hospital of Basel, Basel, Switzerland.
²⁶ Institute for Infectious Diseases, University of Bern, Bern, Switzerland.
²⁷ Dept. of Infectious Diseases, Karlstad Hospital and Centre for Clinical Research, Karlstad, Sweden.
²⁸ Dept. of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.
²⁹ shared last authorship.
³⁰ Dept. of Infectious Diseases, Hospital Clínic, Barcelona, Spain.
³¹ A full list of authors appears at the end of the paper.

PMID: 36756304
PMCID: PMC9901514
DOI: 10.5194/jbji-8-29-2023

Abstract

This clinical guideline is intended for use by orthopedic surgeons and physicians who care for patients with possible or documented septic arthritis of a native joint (SANJO). It includes evidence and opinion-based recommendations for the diagnosis and management of patients with SANJO.

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Conflict of interest statement

At least one of the (co-)authors is a member of the editorial board of .

Figures

**Figure 1**
Representations of quality of evidence and strength of recommendations (Guyatt et al., 2008).

**Figure 2**
Management of septic arthritis in native joints (SANJO).

See this image and copyright information in PMC

References

1. Guyatt GH, Oxman AD, Kunz R, Falck-Ytter Y, Vist GE, Liberati A, Schunemann HJ, Group GW. Going from evidence to recommendations. BMJ. 2008;336:1049–1051. doi: 10.1136/bmj.39493.646875.AE. - DOI - PMC - PubMed
1. Stutz G, Kuster MS, Kleinstuck F, Gachter A. Arthroscopic management of septic arthritis: stages of infection and results. Knee Surg Sports Traumatol Arthrosc. 2000;8:270–274. doi: 10.1007/s001670000129. - DOI - PubMed

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Guideline for management of septic arthritis in native joints (SANJO)

Affiliations

Guideline for management of septic arthritis in native joints (SANJO)

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

LinkOut - more resources

Full Text Sources