Difference between revisions of "Septic bursitis"

(Created page with "==Background== *Most common sites are prepatellar bursa and olecranon bursa ==Clinical Features== *Acute pain, tenderness, warmth, and erythema of affected bursa *Fever (<50%) ...")
 
Line 13: Line 13:
 
*Antibiotics  
 
*Antibiotics  
 
**Cover staph/strep (including MRSA)
 
**Cover staph/strep (including MRSA)
**PO abx are generally sufficient
+
**Clindamycin 300mg TID x10d OR dicloxacillin 500mg q6hr x10d
  
 
==Disposition==
 
==Disposition==

Revision as of 21:05, 27 February 2012

Background

  • Most common sites are prepatellar bursa and olecranon bursa

Clinical Features

  • Acute pain, tenderness, warmth, and erythema of affected bursa
  • Fever (<50%)

Diagnosis

  • Bursal fluid aspiration
    • Both diagnostic and therapeutic

Treatment

  • Antibiotics
    • Cover staph/strep (including MRSA)
    • Clindamycin 300mg TID x10d OR dicloxacillin 500mg q6hr x10d

Disposition

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

Source

  • Tintinalli