Clinical Characteristics and Factors Associated with Melioidosis Septic Arthritis and Other Bacterial Septic Arthritis at Nongkhai Hospital, 2016-2023
Keywords:
Melioidosis , Septic arthritis , Bacterial septic arthritis , Nongkhai HospitalAbstract
This retrospective descriptive study collected data from the medical records of patients with septic arthritis who had been eligible for Newman criteria level A or B from 2016-2023. The objective is to study the clinical characteristics and factors associated with melioidosis septic arthritis and other bacterial septic arthritis at Nongkhai Hospital. Categorical variables were compared using the Chi-square or Fisher’s exact test. Only statistically significant factors were further analyzed using multiple logistic regression and presentation of adjusted odds ratio in combination with 95% CI. 126 eligible patients were enrolled. There were 20 cases (15.9%) of patients with melioidosis septic arthritis and 106 cases (84.1%) of patients with other bacterial septic arthritis. Patients with melioidosis septic arthritis often had diabetes mellitus, and ALT ≥ 40 IU/L compared to patients with other bacterial septic arthritis with statistical significance (p<0.05). According to this study, it is recommended that patients with bacterial septic arthritis from the northeast region along with the above-mentioned factors should always consider empirical antibiotics to cover melioidosis.
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