Septic bursitis: Difference between revisions
| 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
- Antibiotics
- Cover staph/strep (including MRSA)
- Clindamycin 300mg TID x10d OR dicloxacillin 500mg q6hr x10d
- Drainage
- Incision and Drainage vs. serial needle drainage
Disposition
- Consider admission for:
- Extensive purulent bursitis
- Extensive surrounding cellulitis
- Suspected joint involvement
- Immunocompromise
- Failure to resopnd to course of PO abx
Source
- Tintinalli