Difference between revisions of "Septic bursitis"

(Treatment)
(Treatment)
Line 14: Line 14:
 
**Cover staph/strep (including [[MRSA]])
 
**Cover staph/strep (including [[MRSA]])
 
**[[Clindamycin]] 300mg TID x10d OR [[dicloxacillin]] 500mg q6hr x10d
 
**[[Clindamycin]] 300mg TID x10d OR [[dicloxacillin]] 500mg q6hr x10d
 +
*Drainage
 +
**[[Incision and Drainage]] vs. serial needle drainage
  
 
==Disposition==
 
==Disposition==

Revision as of 02:37, 25 May 2014

Background

  • Most common sites are prepatellar bursa and olecranon bursa

Clinical Features

  • Acute pain, tenderness, warmth, and erythema of affected bursa
    • None of which is seen in aseptic bursitis
  • Fever (<50%)

Diagnosis

  • Bursal fluid aspiration
    • Both diagnostic and therapeutic

Treatment

Disposition

  • Consider admission for:
    • Extensive purulent bursitis
    • Extensive surrounding cellulitis
    • Suspected joint involvement
    • Immunocompromise
    • Failure to resopnd to course of PO abx

Source

  • Tintinalli