The optimal duration of systemic antibiotic administration for native joint septic arthritis is unknown. The investigators perform a randomized study allowing up to 3 surgical lavages and allocating patients into a two-week's and a four week's randomization arm
The optimal duration of systemic antibiotic administration for native joint septic arthritis is unknown. The investigators perform a randomized study allocating patients into a two-week's and a four week's randomization arm. The adult patients are hospitalized for septic arthritis. A computer program randomizes 1:1 between a two week's and a four week's arm of targeted antibiotic treatment of which at least the first week is intravenously. The randomization may occur until Day 5 of admission. Up to three surgical interventions are allowed. The investigators allow the inclusion of all bacterial arthritis and all joints.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
85
The investigators perform a surgical drainage of the infection along with the complete removal of the infected orthopedic implant.
The investigators perform a surgical drainage of the infection along with the complete removal of the infected orthopedic implant.
After the surgical implant removal, the investigators prescribe a total of 2 weeks of systemic targeted antibiotic therapy against the causative pathogen(s), of which one week is recommended to be intravenously.
Geneva University Hospitals
Geneva, Switzerland
Clinical Remission of systemic infection
Measurement of fever.
Time frame: 6 months
Sequels
Patient's remaining gait disorders. * range of movement in adjacent joints of former infection * questionnaire regarding persistant pain and handicaps (open wording)
Time frame: 6 months
Wound redness
Visual examination of the presence of wound redness.
Time frame: 6 months
Wound discharge
Visual examination of the presence of wound discharge
Time frame: 6 months
Presence of pus
Visual examination of the presence of pus coming out the wound
Time frame: 6 months
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After the surgical implant removal, the investigators prescribe a total of 4 weeks of systemic targeted antibiotic therapy against the causative pathogen(s), of which one week is recommended to be intravenously.