Guideline for management of septic arthritis in native joints (SANJO)

Name: Work Video:
Duration: 3 min 30 s
Description: This clinical guideline is intended for use by orthopedic surgeons and physicians who care for patients with possible or documented septic arthritis of a native joint (SANJO). It includes evidence and opinion-based recommendations for the diagnosis and management of patients with SANJO.
Christen Ravn; Jeroen Neyt; Natividad Benito; Miguel Araújo Abreu; Yvonne Achermann; С. А. Божкова; Liselotte Coorevits; Matteo Ferrari; Karianne Wiger Gammelsrud; Ulf-Joachim Gerlach; Efthymia Giannitsioti; Martin Gottliebsen; Nis Pedersen Jørgensen; Tomislav Madjarević; Leonard Charles Marais; Aditya Menon; Dirk Jan F. Moojen; Markus Pääkkönen; Marko Pokorn; Daniel Pérez‐Prieto; Nora Renz; Jesús Saavedra‐Lozano; Marta Sabater-Martos; Parham Sendi; Staffan Tevell; H. Charles Vogely; Álex Soriano
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['Dept. of Orthopaedic Surgery and Traumatology, Aarhus University\nHospital, Aarhus, Denmark'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Orthopaedic Surgery and Traumatology, Aarhus University\nHospital, Aarhus, Denmark', 'institution_ids': ['https://openalex.org/I2802335433']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5040146421', 'display_name': 'Jeroen Neyt', 'orcid': 'https://orcid.org/0000-0003-2111-419X'}, 'institutions': [{'id': 'https://openalex.org/I2801227569', 'display_name': 'Ghent University Hospital', 'ror': 'https://ror.org/00xmkp704', 'country_code': 'BE', 'type': 'healthcare', 'lineage': ['https://openalex.org/I2801227569']}], 'countries': ['BE'], 'is_corresponding': False, 'raw_author_name': 'Jeroen Neyt', 'raw_affiliation_strings': ['Dept. of Orthopedic Surgery,  University Hospitals Ghent, Ghent, Belgium'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Orthopedic Surgery,  University Hospitals Ghent, Ghent, Belgium', 'institution_ids': ['https://openalex.org/I2801227569']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5056852015', 'display_name': 'Natividad Benito', 'orcid': 'https://orcid.org/0000-0001-6410-013X'}, 'institutions': [{'id': 'https://openalex.org/I2801795740', 'display_name': 'Hospital de Sant Pau', 'ror': 'https://ror.org/059n1d175', 'country_code': 'ES', 'type': 'healthcare', 'lineage': ['https://openalex.org/I2801795740']}], 'countries': ['ES'], 'is_corresponding': True, 'raw_author_name': 'Natividad Benito', 'raw_affiliation_strings': ['Dept. of Infectious Diseases, Hospital de la Santa Creu i Sant Pau,\nBarcelona, Spain'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Infectious Diseases, Hospital de la Santa Creu i Sant Pau,\nBarcelona, Spain', 'institution_ids': ['https://openalex.org/I2801795740']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5067081026', 'display_name': 'Miguel Araújo Abreu', 'orcid': 'https://orcid.org/0000-0001-6999-6641'}, 'institutions': [{'id': 'https://openalex.org/I4210154840', 'display_name': 'Centro Hospitalar do Porto', 'ror': 'https://ror.org/04dwpyh46', 'country_code': 'PT', 'type': 'healthcare', 'lineage': ['https://openalex.org/I4210154840']}], 'countries': ['PT'], 'is_corresponding': False, 'raw_author_name': 'Miguel Araújo Abreu', 'raw_affiliation_strings': ['Dept. of Infectious Diseases, Centro Hospitalar do Porto, Porto, Portugal'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Infectious Diseases, Centro Hospitalar do Porto, Porto, Portugal', 'institution_ids': ['https://openalex.org/I4210154840']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5057247396', 'display_name': 'Yvonne Achermann', 'orcid': None}, 'institutions': [{'id': 'https://openalex.org/I4210156927', 'display_name': 'Spital Zollikerberg', 'ror': 'https://ror.org/055fn0a35', 'country_code': 'CH', 'type': 'healthcare', 'lineage': ['https://openalex.org/I4210156927']}], 'countries': ['CH'], 'is_corresponding': False, 'raw_author_name': 'Yvonne Achermann', 'raw_affiliation_strings': ['Dept. of Internal Medicine, Hospital Zollikerberg, Zürich, Switzerland'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Internal Medicine, Hospital Zollikerberg, Zürich, Switzerland', 'institution_ids': ['https://openalex.org/I4210156927']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5066819557', 'display_name': 'С. А. Божкова', 'orcid': 'https://orcid.org/0000-0002-2083-2424'}, 'institutions': [{'id': 'https://openalex.org/I4210099506', 'display_name': 'Russian Scientific Research Institute of Traumatology and Orthopedics named after R.R. Vreden', 'ror': 'https://ror.org/014rxe718', 'country_code': 'RU', 'type': 'facility', 'lineage': ['https://openalex.org/I4210099506']}], 'countries': ['RU'], 'is_corresponding': False, 'raw_author_name': 'Svetlana Bozhkova', 'raw_affiliation_strings': ['Dept. of Prevention and Treatment of Wound Infection, Vreden National Medical Research Center of Traumatology and Orthopedics, St. Petersburg, Russia'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Prevention and Treatment of Wound Infection, Vreden National Medical Research Center of Traumatology and Orthopedics, St. Petersburg, Russia', 'institution_ids': ['https://openalex.org/I4210099506']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5055271140', 'display_name': 'Liselotte Coorevits', 'orcid': 'https://orcid.org/0000-0001-6455-2160'}, 'institutions': [{'id': 'https://openalex.org/I2801227569', 'display_name': 'Ghent University Hospital', 'ror': 'https://ror.org/00xmkp704', 'country_code': 'BE', 'type': 'healthcare', 'lineage': ['https://openalex.org/I2801227569']}], 'countries': ['BE'], 'is_corresponding': False, 'raw_author_name': 'Liselotte Coorevits', 'raw_affiliation_strings': ['Dept. of Clinical Microbiology, University Hospitals Ghent, Ghent, Belgium'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Clinical Microbiology, University Hospitals Ghent, Ghent, Belgium', 'institution_ids': ['https://openalex.org/I2801227569']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5103890716', 'display_name': 'Matteo Ferrari', 'orcid': None}, 'institutions': [], 'countries': ['IT'], 'is_corresponding': False, 'raw_author_name': 'Matteo Carlo Ferrari', 'raw_affiliation_strings': ["Dept. of Internal Medicine, IRCCS Ospedale Galeazzi Sant'Ambrogio,\nMilano, Italy"], 'affiliations': [{'raw_affiliation_string': "Dept. of Internal Medicine, IRCCS Ospedale Galeazzi Sant'Ambrogio,\nMilano, Italy", 'institution_ids': []}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5061010681', 'display_name': 'Karianne Wiger Gammelsrud', 'orcid': None}, 'institutions': [{'id': 'https://openalex.org/I1281400175', 'display_name': 'Oslo University Hospital', 'ror': 'https://ror.org/00j9c2840', 'country_code': 'NO', 'type': 'healthcare', 'lineage': ['https://openalex.org/I1281400175']}], 'countries': ['NO'], 'is_corresponding': False, 'raw_author_name': 'Karianne Wiger Gammelsrud', 'raw_affiliation_strings': ['Dept. of Clinical Microbiology, University Hospital Oslo, Oslo, Norway'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Clinical Microbiology, University Hospital Oslo, Oslo, Norway', 'institution_ids': ['https://openalex.org/I1281400175']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5110904220', 'display_name': 'Ulf-Joachim Gerlach', 'orcid': None}, 'institutions': [{'id': 'https://openalex.org/I4210166958', 'display_name': 'BG Klinikum Hamburg', 'ror': 'https://ror.org/05jw2mx52', 'country_code': 'DE', 'type': 'healthcare', 'lineage': ['https://openalex.org/I4210166958']}], 'countries': ['DE'], 'is_corresponding': False, 'raw_author_name': 'Ulf-Joachim Gerlach', 'raw_affiliation_strings': ['Dept. of Septic Orthopedic Surgery and Traumatology, BG Klinikum\nHamburg, Hamburg, Germany'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Septic Orthopedic Surgery and Traumatology, BG Klinikum\nHamburg, Hamburg, Germany', 'institution_ids': ['https://openalex.org/I4210166958']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5052626943', 'display_name': 'Efthymia Giannitsioti', 'orcid': 'https://orcid.org/0000-0003-2715-7457'}, 'institutions': [{'id': 'https://openalex.org/I4210140282', 'display_name': 'University General Hospital Attikon', 'ror': 'https://ror.org/03gb7n667', 'country_code': 'GR', 'type': 'healthcare', 'lineage': ['https://openalex.org/I4210140282']}], 'countries': ['GR'], 'is_corresponding': False, 'raw_author_name': 'Efthymia Giannitsioti', 'raw_affiliation_strings': ['Dept. of Infectious Diseases, Attikon University General Hospital,\nAthens, Greece'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Infectious Diseases, Attikon University General Hospital,\nAthens, Greece', 'institution_ids': ['https://openalex.org/I4210140282']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5074905246', 'display_name': 'Martin Gottliebsen', 'orcid': 'https://orcid.org/0000-0002-0641-8665'}, 'institutions': [{'id': 'https://openalex.org/I2802335433', 'display_name': 'Aarhus University Hospital', 'ror': 'https://ror.org/040r8fr65', 'country_code': 'DK', 'type': 'healthcare', 'lineage': ['https://openalex.org/I2802335433']}], 'countries': ['DK'], 'is_corresponding': False, 'raw_author_name': 'Martin Gottliebsen', 'raw_affiliation_strings': ['Dept. of Orthopaedic Surgery and Traumatology, Aarhus University\nHospital, Aarhus, Denmark'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Orthopaedic Surgery and Traumatology, Aarhus University\nHospital, Aarhus, Denmark', 'institution_ids': ['https://openalex.org/I2802335433']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5059783402', 'display_name': 'Nis Pedersen Jørgensen', 'orcid': 'https://orcid.org/0000-0002-6153-2604'}, 'institutions': [{'id': 'https://openalex.org/I2802335433', 'display_name': 'Aarhus University Hospital', 'ror': 'https://ror.org/040r8fr65', 'country_code': 'DK', 'type': 'healthcare', 'lineage': ['https://openalex.org/I2802335433']}], 'countries': ['DK'], 'is_corresponding': False, 'raw_author_name': 'Nis Pedersen Jørgensen', 'raw_affiliation_strings': ['Dept. of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark', 'institution_ids': ['https://openalex.org/I2802335433']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5111756521', 'display_name': 'Tomislav Madjarević', 'orcid': None}, 'institutions': [{'id': 'https://openalex.org/I154347574', 'display_name': 'University of Rijeka', 'ror': 'https://ror.org/05r8dqr10', 'country_code': 'HR', 'type': 'education', 'lineage': ['https://openalex.org/I154347574']}], 'countries': ['HR'], 'is_corresponding': False, 'raw_author_name': 'Tomislav Madjarevic', 'raw_affiliation_strings': ['Dept. of Orthopaedic Surgery Lovran, University of Rijeka, Rijeka, Croatia'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Orthopaedic Surgery Lovran, University of Rijeka, Rijeka, Croatia', 'institution_ids': ['https://openalex.org/I154347574']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5045889928', 'display_name': 'Leonard Charles Marais', 'orcid': 'https://orcid.org/0000-0002-1120-8419'}, 'institutions': [{'id': 'https://openalex.org/I95023434', 'display_name': 'University of KwaZulu-Natal', 'ror': 'https://ror.org/04qzfn040', 'country_code': 'ZA', 'type': 'education', 'lineage': ['https://openalex.org/I95023434']}], 'countries': ['ZA'], 'is_corresponding': False, 'raw_author_name': 'Leonard Marais', 'raw_affiliation_strings': ['Dept. of Orthopaedic Surgery, University of KwaZulu-Natal, Durban, South Africa'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Orthopaedic Surgery, University of KwaZulu-Natal, Durban, South Africa', 'institution_ids': ['https://openalex.org/I95023434']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5102825248', 'display_name': 'Aditya Menon', 'orcid': 'https://orcid.org/0000-0003-0487-4736'}, 'institutions': [{'id': 'https://openalex.org/I2800474033', 'display_name': 'P. D. Hinduja Hospital and Medical Research Centre', 'ror': 'https://ror.org/00a6fbp85', 'country_code': 'IN', 'type': 'healthcare', 'lineage': ['https://openalex.org/I2800474033']}], 'countries': ['IN'], 'is_corresponding': False, 'raw_author_name': 'Aditya Menon', 'raw_affiliation_strings': ['Dept. of Orthopaedics, P.D. Hinduja Hospital and Medical Research\nCentre, Mumbai, India'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Orthopaedics, P.D. Hinduja Hospital and Medical Research\nCentre, Mumbai, India', 'institution_ids': ['https://openalex.org/I2800474033']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5034046142', 'display_name': 'Dirk Jan F. Moojen', 'orcid': 'https://orcid.org/0000-0003-3517-6519'}, 'institutions': [{'id': 'https://openalex.org/I4210105568', 'display_name': 'OLVG', 'ror': 'https://ror.org/01d02sf11', 'country_code': 'NL', 'type': 'healthcare', 'lineage': ['https://openalex.org/I4210105568']}], 'countries': ['NL'], 'is_corresponding': False, 'raw_author_name': 'Dirk Jan Moojen', 'raw_affiliation_strings': ['Dept. of Orthopaedic and Trauma Surgery, OLVG Amsterdam, Amsterdam, the Netherlands'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Orthopaedic and Trauma Surgery, OLVG Amsterdam, Amsterdam, the Netherlands', 'institution_ids': ['https://openalex.org/I4210105568']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5038608810', 'display_name': 'Markus Pääkkönen', 'orcid': 'https://orcid.org/0000-0003-0849-8395'}, 'institutions': [{'id': 'https://openalex.org/I2801970007', 'display_name': 'Turku University Hospital', 'ror': 'https://ror.org/05dbzj528', 'country_code': 'FI', 'type': 'healthcare', 'lineage': ['https://openalex.org/I2801970007', 'https://openalex.org/I4210127022']}], 'countries': ['FI'], 'is_corresponding': False, 'raw_author_name': 'Markus Pääkkönen', 'raw_affiliation_strings': ['Dept. of Orthopaedics and Traumatology, Turku University Hospital,\nTurku, Finland'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Orthopaedics and Traumatology, Turku University Hospital,\nTurku, Finland', 'institution_ids': ['https://openalex.org/I2801970007']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5061841180', 'display_name': 'Marko Pokorn', 'orcid': 'https://orcid.org/0000-0002-2341-2791'}, 'institutions': [{'id': 'https://openalex.org/I2801323708', 'display_name': 'Ljubljana University Medical Centre', 'ror': 'https://ror.org/01nr6fy72', 'country_code': 'SI', 'type': 'healthcare', 'lineage': ['https://openalex.org/I2801323708']}], 'countries': ['SI'], 'is_corresponding': False, 'raw_author_name': 'Marko Pokorn', 'raw_affiliation_strings': ['Dept. of Infectious Diseases, Ljubjana University Medical Center,\nLjubjana, Slovenia'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Infectious Diseases, Ljubjana University Medical Center,\nLjubjana, Slovenia', 'institution_ids': ['https://openalex.org/I2801323708']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5032296787', 'display_name': 'Daniel Pérez‐Prieto', 'orcid': 'https://orcid.org/0000-0002-7112-0742'}, 'institutions': [{'id': 'https://openalex.org/I4210130874', 'display_name': 'Hospital Del Mar', 'ror': 'https://ror.org/03a8gac78', 'country_code': 'ES', 'type': 'healthcare', 'lineage': ['https://openalex.org/I4210130874']}], 'countries': ['ES'], 'is_corresponding': False, 'raw_author_name': 'Daniel Pérez-Prieto', 'raw_affiliation_strings': ['Dept. of Orthopaedic Surgery and Traumatology, Hospital del Mar,\nBarcelona, Spain'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Orthopaedic Surgery and Traumatology, Hospital del Mar,\nBarcelona, Spain', 'institution_ids': ['https://openalex.org/I4210130874']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5044193246', 'display_name': 'Nora Renz', 'orcid': 'https://orcid.org/0000-0001-8011-6684'}, 'institutions': [{'id': 'https://openalex.org/I2801112126', 'display_name': 'University Hospital of Bern', 'ror': 'https://ror.org/01q9sj412', 'country_code': 'CH', 'type': 'healthcare', 'lineage': ['https://openalex.org/I2801112126']}], 'countries': ['CH'], 'is_corresponding': False, 'raw_author_name': 'Nora Renz', 'raw_affiliation_strings': ['Dept. of Infectious Diseases, Bern University Hospital, Bern, Switzerland'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Infectious Diseases, Bern University Hospital, Bern, Switzerland', 'institution_ids': ['https://openalex.org/I2801112126']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5075062830', 'display_name': 'Jesús Saavedra‐Lozano', 'orcid': 'https://orcid.org/0000-0001-5971-011X'}, 'institutions': [{'id': 'https://openalex.org/I2960094004', 'display_name': 'Hospital General Universitario Gregorio Marañón', 'ror': 'https://ror.org/0111es613', 'country_code': 'ES', 'type': 'healthcare', 'lineage': ['https://openalex.org/I2960094004', 'https://openalex.org/I4210139293']}], 'countries': ['ES'], 'is_corresponding': False, 'raw_author_name': 'Jesús Saavedra-Lozano', 'raw_affiliation_strings': ['Dept. of Pediatric Infectious Diseases Unit, Gregorio Marañón\nHospital, Madrid, Spain'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Pediatric Infectious Diseases Unit, Gregorio Marañón\nHospital, Madrid, Spain', 'institution_ids': ['https://openalex.org/I2960094004']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5042264319', 'display_name': 'Marta Sabater-Martos', 'orcid': 'https://orcid.org/0000-0002-9350-3648'}, 'institutions': [{'id': 'https://openalex.org/I4210115097', 'display_name': 'Hospital Clínic de Barcelona', 'ror': 'https://ror.org/02a2kzf50', 'country_code': 'ES', 'type': 'healthcare', 'lineage': ['https://openalex.org/I4210115097']}], 'countries': ['ES'], 'is_corresponding': True, 'raw_author_name': 'Marta Sabater-Martos', 'raw_affiliation_strings': ['Dept. of Orthopaedic Surgery and Traumatology,\xa0Hospital Clínic,\nBarcelona, Spain'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Orthopaedic Surgery and Traumatology,\xa0Hospital Clínic,\nBarcelona, Spain', 'institution_ids': ['https://openalex.org/I4210115097']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5077875571', 'display_name': 'Parham Sendi', 'orcid': 'https://orcid.org/0000-0002-7347-6312'}, 'institutions': [{'id': 'https://openalex.org/I2802542264', 'display_name': 'University Hospital of Basel', 'ror': 'https://ror.org/04k51q396', 'country_code': 'CH', 'type': 'healthcare', 'lineage': ['https://openalex.org/I2802542264']}, {'id': 'https://openalex.org/I118564535', 'display_name': 'University of Bern', 'ror': 'https://ror.org/02k7v4d05', 'country_code': 'CH', 'type': 'education', 'lineage': ['https://openalex.org/I118564535']}], 'countries': ['CH'], 'is_corresponding': True, 'raw_author_name': 'Parham Sendi', 'raw_affiliation_strings': ['Dept. of Infectious Diseases, University Hospital of Basel, Basel, Switzerland', 'Institute for Infectious Diseases, University of Bern, Bern, Switzerland'], 'affiliations': [{'raw_affiliation_string': 'Dept. of Infectious Diseases, University Hospital of Basel, Basel, Switzerland', 'institution_ids': ['https://openalex.org/I2802542264']}, {'raw_affiliation_string': 'Institute for Infectious Diseases, University of Bern, Bern, Switzerland', 'institution_ids': ['https://openalex.org/I118564535']}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5038427862', 'display_name': 'Staffan Tevell', 'orcid': 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