Septic arthritis in Iceland 1990–2002: increasing incidence due to iatrogenic infections
2008

Increasing Incidence of Septic Arthritis in Iceland Due to Iatrogenic Infections

Sample size: 253 publication Evidence: moderate

Author Information

Author(s): Geirsson Á, Statkevicius S, Víkingsson A

Primary Institution: Landspitali University Hospital of Iceland

Hypothesis

The study aims to assess the impact of increased diagnostic and therapeutic joint procedures on the incidence and type of septic arthritis.

Conclusion

The incidence of septic arthritis has increased in recent years due to an increased number of arthroscopies and joint injections.

Supporting Evidence

  • The incidence of septic arthritis increased from 4.2 cases/100,000 in 1990 to 11.0 cases/100,000 in 2002.
  • Iatrogenic infections accounted for 41.8% of adult cases of septic arthritis.
  • The annual number of arthroscopies increased from 430 in 1990–1994 to 2303 in 1998–2002.

Takeaway

More people are getting joint infections because doctors are doing more procedures on joints, like surgeries and injections.

Methodology

A nationwide review of medical records and microbiology cultures for septic arthritis cases from 1990 to 2002.

Potential Biases

Potential bias due to reliance on medical records and culture results.

Limitations

The study relies on retrospective data and may not capture all cases of septic arthritis.

Participant Demographics

69 children and 184 adults, with a male/female ratio of 1.7.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI 3.2–5.5 and 7.9–11.1

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1136/ard.2007.077131

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