article = {CMR-2021-1-102}
title = {Staphylococcal and Streptococcal Septic Arthritis in the Elderly}
journal = {Clinical Microbiology and Research}
year = {2021}
issn = {2674-418X}
doi = {http://dx.doi.org/10.31487/j.CMR.2021.01.02}
url = {https://www.sciencerepository.org/staphylococcal-and-streptococcal-septic-arthritis-in-the-elderly_CMR-2021-1-102 
author = {Don Walter Kannangara,D.  Pandya,R.  Anmolsingh,}
keywords = { Septic arthritis, Staphylococcus aureus, Streptococcus}
abstract ={In our study, septic arthritis due to Staphylococcus aureus and Streptococcal species was more common in the elderly. This contrasts with Lyme arthritis which has a higher incidence in younger patients. The majority of joint infections were in the elderly, with a median age of 65 (range 14-95) for Staphylococcus aureus and 70 for Streptococcal species. The age range of Methicillin-resistant Staphylococcus aureus (MRSA) septic arthritis was 27-95 (median 72) with 39/53 (73.6%) above age 60. The age range of Streptococcal arthritis patients was 36-86 (median 70). There were more males with septic arthritis for both Staphylococcus aureus (86/134) 64% and streptococci (12/22) 55%. The most frequently involved joint was the knee, 49.3% for S. aureus followed by hip (23.9%), elbow (14.3%), shoulder (14%), wrist (1.5%), ankle (0.75%) and sternoclavicular (0.75%). The knee was affected in 81% of Streptococcal infections, with the rest equally divided between the hip, elbow, acromioclavicular and ankle joints. The history of prior joint replacement in patients with septic arthritis was 21/28 (80%) for MRSA, 36/102 (35.3%) for methicillin-susceptible Staphylococcus aureus (MSSA) and 9/21 (43%) for streptococcal arthritis suggestive of healthcare-associated infections. Our results suggest a need for improvements to prevent the entry of pathogens into the surgical site during and after surgery.}