Septic Arthritis Treatment

For people with septic arthritis, treatment involves the use of antibiotics. The antibiotic used to treat the infection will depend on which type of bacteria is causing the condition. Treatment for septic arthritis may also involve draining the infected joint. Children with septic arthritis often require surgery; surgery may also be recommended to treat cases of septic arthritis affecting the hip. In the early stages of septic arthritis, treatment may also include splinting the joint.

 

An Overview of Septic Arthritis Treatment

Treatment for septic arthritis needs to be received as soon as possible to reduce the risk of permanent joint damage. Septic arthritis treatment involves the use of antibiotics. It may also involve draining the infected joint.
 

Antibiotics Used to Treat Septic Arthritis

The specific antibiotic the healthcare provider recommends for the treatment of septic arthritis will depend on the results of the synovial fluid analysis. If no bacteria are seen in the synovial fluid, the choice of antibiotic will be based on the person's age; certain types of bacteria are more likely to cause septic arthritis in people belonging to certain age groups.
 
For example, in infants under one year of age, the most common cause of septic arthritis is Staphylococcus aureus or Group B Strep. Haemophilus influenzae and Staphylococcus aureus are the most common causes of septic arthritis in children younger than five years of age. Staphylococcus aureus is the most common cause of the condition in children five years old and older. In cases involving adults, the most common cause of septic arthritis is an infection with Neisseria gonorrhoeae (the bacteria that cause gonorrhea).
 
Initially, antibiotics are administered intravenously (through an IV). After a period of time, the healthcare provider will often switch the patient to antibiotics taken by mouth. The length of treatment with antibiotics will depend on the specific type of bacteria responsible for the septic arthritis. Streptococcal arthritis can usually be cured with antibiotics in 10 to 14 days. Septic arthritis caused by other types of bacteria may require three to six weeks of treatment.
 
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Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD