joint infection

Updated: August 17, 2022

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Background

Epidemiology

Anatomy

Pathophysiology

Etiology

Genetics

Prognostic Factors

Clinical History

Physical Examination

Age group

Associated comorbidity

Associated activity

Acuity of presentation

Differential Diagnoses

Laboratory Studies

Imaging Studies

Procedures

Histologic Findings

Staging

Treatment Paradigm

by Stage

by Modality

Chemotherapy

Radiation Therapy

Surgical Interventions

Hormone Therapy

Immunotherapy

Hyperthermia

Photodynamic Therapy

Stem Cell Transplant

Targeted Therapy

Palliative Care

Medication

 

ceftriaxone

1-2 g IV or IM was given once a day or in equally divided doses 2x a day
maximum duration of therapy is 4-14 days
prolonged treatment recommends for complicated infections
At least treatment given ten days for diseases due to streptococcus



penicillin v 

500

mg

Orally 

2-4 times a day



ciprofloxacin 

For mild infection of bones and joints, a dose of 500 mg orally every 12 hours or 400 mg intravenously every 12 hours is indicated for 4-6 weeks
For severe infection of bones and joints, a dose of 750 mg orally every 12 hours or 400 mg intravenously every 8 hours is indicated for 4-6 weeks



ciprofloxacin 

For mild infection of bones and joints, a dose of 500 mg orally every 12 hours or 400 mg intravenously every 12 hours is indicated for 4-6 weeks
For severe infection of bones and joints, a dose of 750 mg orally every 12 hours or 400 mg intravenously every 8 hours is indicated for 4-6 weeks



ciprofloxacin 

For mild infection of bones and joints, a dose of 500 mg orally every 12 hours or 400 mg intravenously every 12 hours is indicated for 4-6 weeks
For severe infection of bones and joints, a dose of 750 mg orally every 12 hours or 400 mg intravenously every 8 hours is indicated for 4-6 weeks



ceftizoxime 

The usual dose for the treatment of joint infection is 1 to 4 g via Intravenous or Intramuscular administration twice or thrice a day for up to 3 or 4 weeks. The duration of the treatment depends on the severity and the nature of the infections
In the case of prosthetic joint infection, therapy is prolonged for up to 6 weeks
If the infection is severe, the dose can be increased up to 12 g per day



Dose Adjustments

Renal Dose Adjustment
In case of renal insufficiency, the usual dose of ceftizoxime depends on the CrCl. If the CrCl is below 5 mL/min, then 0.25-0.5 g a day or 0.5-1 g via IV or IM in 2 days after undergoing dialysis. Loading dose is standard in renal insufficiency, which is 0.5-1 g. 0.25 -1g twice a day if CrCl falls between 5 and 49 mL/min and 0.5 – 1.5 g thrice a day if CrCl is between 50 and 79 mL/min


IDSA Recommends a dose of 1.5-2 g per day given IV every 4-6hrs



nafcillin 

IDSA recommends a dose of 1.5-2 g IV given every 4-6hrs



piperacillin 

A dose of 3-4 g IV given every 4-6hrs is recommended
The maximum dose per day recommended is 24g



ticarcillin 

3g IV every 4 hours for 3 to 4 weeks, depending on the severity of the infection
For prosthetic joint infections, longer therapy may be given of up to 6 weeks



 

ceftriaxone

For >1-month children
50-75 mg per kg per day IV or IM is given in divided doses every 12hrs
maximum dose per day is 2 g



piperacillin 

For children 12years and above a dose of 200-300mg/kg/day given IV in divided doses for every 4-6hrs is recommended

The total dose per day given is 18g



 

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joint infection

Updated : August 17, 2022

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