MÁRCIO NATTER ARTRITE SÉPTICA: ESTUDO DE 9 ... - UFSC

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v ABSTRACT Background: Septic arthritis is an uncommon illness, however with great morbidity and lethality. Non-gonococcal septic arthritis is more common in males and the extremes of ages, affects more the knee and hip with a monoarticular pattern and S. Aureus is the main etiologic agent. On the other hand, gonococcal septic arthritis affects more females and sexually active people, fists and metacarpo-phalangeal joints are commonly affected with polyarticular pattern. The treatment is similar for both cases with better prognostic for gonococcal septic arthritis. In Brazil the clinic-epidemiological characteristics are similar to that in the world with North American pattern in the case of gonococcal septic arthritis. Objective: To get data about clinic-epidemiological profile, diagnosis and treatment of the patient with septic arthritis in Brazil and in the world, as well as report 9 cases that had occurred in our state. Method: It is a observational and descriptive study of 9 cases admitted in the Hospital Governador Celso Ramos and the Hospital Universitario Polydoro Ernani de Sao Thiago. The literature review was carried through LILACS, SciELO Brazil and MEDLINE in search for study of cases. Chapters of books, review articles and other articles analyzing other aspects of septic arthritis had also been included. Results: From 9 cases there was predominance of males, in five cases the age was superior to 40 years old with knee predominantly affected. In half of the cases the sanguineous leukocytes were below 10.000/mm 3 . The predominant bacteria was S. aureus. Others isolated bacterias was two Streptococcus spp. and one bacillus gram negative. The isolation of the etiologic agent was predominantly through the culture of the sinovial fluid.
vi LISTA <strong>DE</strong> ABREVIATURAS CDC CID-10 IGD IM IV LILACS MRSA PCR PCR 1 SAME SciELO VHS VISA Center for Disease Control and Prevention Classificação Internacional de Doenças - Décima Revisão Infecção Gonocócica Disseminada Intramuscular Intravenoso Literatura Latinoamericana e do Caribe em Ciências da Saúde S. aureus Resistente a Meticilina Proteína C Reativa Polymerase Chain Reaction Serviço de Arquivamento Médico e Estatística Scientific Electronic Library Online Velocidade de Hemossedimentação S. aureus com Resistência Intermediaria a Vancomicina
Page 1 and 2: MÁRCIO NATTER ARTRITE SÉPTICA: ES
Page 3 and 4: Natter, Marcio. Artrite séptica no
Page 5: iv RESUMO Introdução/Revisão de
Page 9 and 10: viii LISTA DE QUADROS Quadro 1 - Ca
Page 11 and 12: x 4 MÉTODOS.......................
Page 13 and 14: 2 2 REVISÃO DE LITERATURA 2.1 Artr
Page 15 and 16: 4 cada 100.000 injeções intra-art
Page 17 and 18: 6 bacteriêmica não ocorre e o qua
Page 19 and 20: 8 e boca e se resolve em 4 a 5 dias
Page 21 and 22: 10 Quadro 3 - Diagnóstico diferenc
Page 23 and 24: 12 incluem Salmonella spp., Proteus
Page 25 and 26: 14 Casos de infecções osteoarticu
Page 27 and 28: 16 ser aplicada quando há históri
Page 29 and 30: 18 sobre a outra. 78 Inclusive há
Page 31 and 32: 20 Quadro 8 - Esquema recomendado p
Page 33 and 34: 22 2.2 Artrite Séptica no Brasil 2
Page 35 and 36: 24 Tabela 3 - Fatores predisponente
Page 37 and 38: 26 diagnóstico de 2 casos em que a
Page 39 and 40: 28 3 OBJETIVOS O presente estudo te
Page 41 and 42: 30 4.4 Revisão de Literatura Uma p
Page 43 and 44: 32 sanguíneos foi de 6940/mm 3 e a
Page 45 and 46: 34 Tabela 6 - Casos de artrite sép
Page 47 and 48: 36 joelho. Em crianças, o quadril
Page 49 and 50: 38 14. Gómez Rodríguez N, Ibáñe
Page 51 and 52: 40 45. Fishbach FT, Dunning MB, edi
Page 53 and 54: 42 75. Vinod MB, Matussek J, Curtis
Page 55: 44 NORMAS ADOTADAS Este trabalho fo

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