Health Condition 1: M009- Pyogenic arthritis, unspecified Health Condition 2: M009- Pyogenic arthritis, unspecified
Conditions
Interventions
Intervention1: Irrigation after aspiration: When we aspirate a paediatric hip septic arthritis for early identification of organism, we simultaneously irrigate the joint
Control Intervention1: Aspirat
Sponsors
PGIMER
Eligibility
Inclusion criteria
Inclusion criteria: 1. Children under 14 years of age 2. Clinical and radiological diagnosis of unilateral hip septic arthritis 3. Symptom onset within 10 days prior to presentation 4. Ultrasonographic evidence of joint effusion 5. Informed written consent from the parent/guardian
Exclusion criteria
Exclusion criteria: 1. Bilateral or polyarticular involvement 2. Immunocompromised children (eg, malignancy, on immunosuppressants) 3. Prior surgery on the affected hip 4. Presentation beyond 10 days of symptom onset 5. Known bleeding disorders or contraindications to anaesthesia 6. Refusal to participate or withdraw consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Treatment success as progressive resolution of infection, defined by serial decrease in inflammatory markers, primarily CRPTimepoint: CRP checked on days 2, 4, 6 and 10 following initial procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to fever resolution Time to pain relief & hip mobility Serial trends in CRP, WBC, & ESR on Days 2, 4, 6, & 10 Hip range of motion at 6 weeks & 3 months Duration of hospital stay & antibiotics Factors associated with treatment failure & need for repeat surgery (eg, elevated CRP, delayed presentation) Timepoint: Days 2, 4, 6, & 10 6 weeks 3 months | — |
Countries
India
Contacts
Public ContactVishnu Kumar K S
PGIMER
Outcome results
None listed