Has the advent of antibiotics had any appre ciable effect on the incidence of acute bacterial arthritis? What is the source of the organisms? Should glacial acetic acid be used for the white cell counts of aspirated joint fluid? In compar ing the joint fluid sugar to a simultaneously drawn blood sugar, must the patient be fasting? How long should antibiotic therapy be contin ued in a child with septic arthritis?
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References
1.
Chartier, Y. , W.J. Martin and P. Kelly: Bacterial arthritis: experiences in the treatment of 77 patients. Ann. Int. Med.50: 1462, 1959 .
2.
Watkins, M.B. , R.L. Samilson and A.M. Winters: Acute suppurative arthritis. J. Bone & Joint Surg.38A: 1313, 1956.
3.
Kister, G.H. : Embolic staphylococcus arthritis and endocarditis in rabbits. Proc. Soc. Exp. Biol. & Med.34: 829, 1936.
4.
Ropes, M.W. and W. Bauer: Synovial Fluid Changes in Joint Disease. Cambridge, Mass. , Harvard Univ. Press, 1953.
5.
Jocson, C.T. : The diffusion of antibiotics through the synovial membrane. J. Bone & Joint Surg.37: 107, 1955.
6.
Ward, J., A.S. Cohen and W. Bauer: The diagnosis and therapy of acute suppurative arthritis. Arth. & Rheum.3: 522, 1960.
7.
Trueta, J.: The normal vascular anatomy of the femoral head during growth. J. Bone & Joint Surg.39B: 358, 1957.
Lepper, M.H. et al.: Meningococcic meningitis: Treatment with large doses of penicillin compared with treatment with gantrisin. J. Lab. and Clin. Med.40: 891, 1952.
10.
Lepper, M.H. and H.W. Spies: The use of intravenous hydrocortisone as supplemental treatment in acute bacterial meningitis. Antibiot. Ann. p. 336, 1957, Medical Encyclopedia, Inc.
11.
Cooperative Group Study.The effectiveness of hydrocortisone in the management of severe infections . J. A. M. A.183: 462, 1963.
12.
Margaretten, W. and A.J. McAdams: An appraisal of fulminant meningococcemia with reference to the Shwartzman phenomenon. Am. J. Med.25(6): 868, 1958.
13.
Lepper, M.H. and H.F. Dowling: Treatment of pneumococcic meningitis with penicillin compared with penicillin plus aureomycin. Arch. Int. Med.88: 489, 1951.
