Septic arthritis due to Neisseria gonorrhoea in Western Australia

2020 ◽  
Author(s):  
Johannes Nossent ◽  
Warren Raymond ◽  
Helen Keen ◽  
David B. Preen ◽  
Charles A Inderjeeth
Keyword(s):  
Septic Arthritis ◽  
Western Australia ◽  
Neisseria Gonorrhoea

Non‐gonococcal septic arthritis of native joints in Western Australia. A longitudinal population‐based study of frequency, risk factors and outcome

2021 ◽  
Author(s):  
Johannes Nossent ◽  
Warren Raymond ◽  
Helen Keen ◽  
David B. Preen ◽  
Charles A Inderjeeth
Keyword(s):  
Risk Factors ◽  
Septic Arthritis ◽  
Western Australia ◽  
Population Based ◽  
Population Based Study

scholarly journals Gonococcal Prosthetic Joint Infection

2017 ◽  
Vol 2 (3) ◽  
pp. 160-162 ◽  
Author(s):  
Ian Gassiep ◽  
Bradley Gilpin ◽  
Joel Douglas ◽  
David Siebert
Keyword(s):  
Septic Arthritis ◽  
Antimicrobial Therapy ◽  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Age Groups ◽  
Gonococcal Infection ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Neisseria Gonorrhoea ◽  
Prosthetic Joint

Abstract. Neisseria gonorrhoea is a common sexually transmitted infection worldwide. Disseminated gonococcal infection is an infrequent presentation and rarely can be associated with septic arthritis. Incidence of this infection is rising, both internationally and in older age groups. We present the first documented case of N. gonorrhoea prosthetic joint infection which was successfully treated with laparoscopic debridement and antimicrobial therapy.

scholarly journals Septic Arthritis in Children: A Longitudinal Population-Based Study in Western Australia

2021 ◽  
Author(s):  
Johannes C. Nossent ◽  
Warren D. Raymond ◽  
Helen I. Keen ◽  
Charles A. Inderjeeth
Keyword(s):  
Septic Arthritis ◽  
Western Australia ◽  
Population Based ◽  
Population Based Study

scholarly journals POS0084 SEPTIC ARTHRITIS IN CHILDREN. A LONGITUDINAL POPULATION-BASED STUDY IN WESTERN AUSTRALIA

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 250.2-250
Author(s):  
J. Nossent ◽  
D. Preen ◽  
H. Keen ◽  
W. Raymond ◽  
C. Inderjeeth
Keyword(s):  
Mortality Rate ◽  
Data Collection ◽  
Septic Arthritis ◽  
Western Australia ◽  
Population Based ◽  
Annual Incidence ◽  
Population Based Study ◽  
Female Patients ◽  
Western Australian

Background:The incidence of Septic arthritis (SA) in adults is rising, but few data are available for children (1). SA symptomatology in young children is often atypical and delayed diagnosis can cause significant morbidity.Objectives:To describe the incidence, risk factors and long-term outcomes in children hospitalised with septic arthritis (SA) in Western Australia (WA).Methods:We extracted population-based longitudinally linked administrative health data for patients under 16 years with a first inpatient primary or secondary code of 711.xx (ICD9-CM) and M00.xx (ICD10-AM) in WA for the study period 1990-2010 (to allow a minimum 5 year followup). We report annual incidence rates per 100.000 (AIR), prior conditions during lookback (median 15 months, IQR 5-45) as well as joint and other comorbidities including Charlson comorbidity index (CCI) and standardised mortality rates (SMR) during a median follow-up of 10 years. Age and gender speficic population and mortality rate data were obtained from the Australian Bureau of Statistics.Results:A total of 891 patients (62% male, median age 6.4 (IQR 1.9-10.6) years with 34% <3 years of age) had a first admission for SA. AIR was 9.85 (CI 4.79-14.41) overall with higher rates in males (11.9 vs 7, p<0.01) and no apparent period (Figure 1) or seasonal variation. Knees (43.9%), hips (34.6%), and ankles (13.3%) were most frequently affected with Staphylococci (49%) the predominant organism in patients with positive cultures (41.5%). Prior infections (40.4%) and respiratory disease (7 %) were the main preexisting morbidities. Mean hospital stay was 5.78 (± 6.4) days with ICU admission required in 1.9%, while 30-day readmittance rate was 10.4%. During follow-up 25 patients (3%) had recurrent/persistent osteomyelitis, nine patients were diagnosed with osteoarthrosis (1.1%) and five patients (0.6%) underwent joint replacement. More female patients developed new comorbidity (CCI>0, 34.6 vs 27.2%, p=0.02) including diabetes (4.2% vs 0%, p=0.001), cardiovascular events (4.2 vs 1.4%, p=0.002) and chronic arthritis (1% vs 0, p=0.05). While the crude mortality rate was low (0.3%) SMR was significantly increased for female patients (10.52, CI 1.59-41.6).Conclusion:The statewide incidence of septic arthritis in children in WA is similar to a recent report (1) and did not change over a 20-year period. In this large population based study, subsequent bone/joint disease occured in 4.6 %, while a third of patients developed other comorbidity before the age of 18. Such (subclinical) comorbidity may thus be a contributing factor to SA development and to the increased mortality risk in female SA patients.References:[1]Cohen E, Katz T, Rahamim E, Bulkowstein S, Weisel Y, Leibovitz R, Fruchtman Y, Leibovitz E. Septic arthritis in children: Updated epidemiologic, microbiologic, clinical and therapeutic correlations. Pediatr Neonatol. 2020 Jun;61(3):325-330. doi: 10.1016/j.pedneo.2020.02.006Figure 1.Annual incidence of septic arthritis per 100,000 population <16 years in Western Australia over period 1990-2010 by gender.Acknowledgements:The authors wish to thank the Arthritis Foundation of WA for their support and would like to acknowledge the support of the Western Australian Data Linkage Branch, the Western Australian Department of Health, and the data custodians of, the Hospital and Morbidity Data Collection, the Emergency Department Data Collection the WA Cancer Register and the WA Death Register for their assistance with data collection.Disclosure of Interests:None declared.

Acute septic arthritis complicating chronic rheumatoid arthritis

JAMA ◽  
1966 ◽  
Vol 196 (7) ◽  
pp. 617-621 ◽  
Author(s):  
D. L. Rimoin
Keyword(s):  
Rheumatoid Arthritis ◽  
Septic Arthritis ◽  
Chronic Rheumatoid Arthritis

Keeping children at home safely: A statutory agency's quest in Western Australia

2013 ◽  
Author(s):  
Helen McMahon ◽  
Katherine Fendley
Keyword(s):  
Western Australia ◽  
At Home

Gonococcal Osteomyelitis Complicating Septic Arthritis

JAMA ◽  
1983 ◽  
Vol 250 (19) ◽  
pp. 2671 ◽  
Author(s):  
Elizabeth A. Tindall
Keyword(s):  
Septic Arthritis

Persistence of giants: population dynamics of the limpet Scutellastra laticostata on rocky shores in Western Australia

2020 ◽  
Vol 646 ◽  
pp. 79-92
Author(s):  
RE Scheibling ◽  
R Black
Keyword(s):  
Population Dynamics ◽  
Western Australia ◽  
Size Structure ◽  
Survival Rates ◽  
Maximum Size ◽  
High Rate ◽  
Adult Survival ◽  
Rocky Shores ◽  
Adult Size ◽  
Decadal Time Scale

Population dynamics and life history traits of the ‘giant’ limpet Scutellastra laticostata on intertidal limestone platforms at Rottnest Island, Western Australia, were recorded by interannual (January/February) monitoring of limpet density and size structure, and relocation of marked individuals, at 3 locations over periods of 13-16 yr between 1993 and 2020. Limpet densities ranged from 4 to 9 ind. m-2 on wave-swept seaward margins of platforms at 2 locations and on a rocky notch at the landward margin of the platform at a third. Juvenile recruits (25-55 mm shell length) were present each year, usually at low densities (<1 m-2), but localized pulses of recruitment occurred in some years. Annual survival rates of marked limpets varied among sites and cohorts, ranging from 0.42 yr-1 at the notch to 0.79 and 0.87 yr-1 on the platforms. A mass mortality of limpets on the platforms occurred in 2003, likely mediated by thermal stress during daytime low tides, coincident with high air temperatures and calm seas. Juveniles grew rapidly to adult size within 2 yr. Asymptotic size (L∞, von Bertalanffy growth model) ranged from 89 to 97 mm, and maximum size from 100 to 113 mm, on platforms. Growth rate and maximum size were lower on the notch. Our empirical observations and simulation models suggest that these populations are relatively stable on a decadal time scale. The frequency and magnitude of recruitment pulses and high rate of adult survival provide considerable inertia, enabling persistence of these populations in the face of sporadic climatic extremes.

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