Principles Treatment Of Septic Arthritis Of The Knee: A Brief Review
DOI:
https://doi.org/10.31282/joti.v6n1.95Kata Kunci:
artritis septik, infeksi, sendi lutut, penangananAbstrak
Artritis septik adalah kondisi darurat dimana terjadi infeksi pada sendi sinovial, mengakibatkan terbentuknya nanah pada ruang sinovial. Insiden septic arthritis meningkat pada pasien dengan peningkatan risiko seperti rheumatoid arthritis. Etiologi septic arthritis terutama adalah bakteri. Faktor risiko meliputi prosedur iatrogenik (pembedahan, pemasangan implan, tusukan sendi) dan kondisi sistemik (diabetes mellitus, artritis reumatoid yang menerima imunosupresan, dll). Patofisiologi septic arthritis disebabkan aliran darah statis di daerah metaphyseal terutama pada anak-anak dan sirkulasi darah intraarticular minimal. Gambaran klinis meliputi demam tiba-tiba, malaise, nyeri lokal pada sendi yang terinfeksi, pembengkakan sendi, dan berkurangnya rentang gerak. Pemeriksaan untuk septic arthritis adalah pemeriksaan fisik yang dilakukan adalah inspeksi (melihat), palpasi (raba), dan gerakan. pemeriksaan penunjang meliputi pemeriksaan darah, PCR, radiologi dan pemeriksaan cairan sendi. Penatalaksanaan meliputi non farmakologi seperti istirahat dan fisioterapi, farmakologi berupa pemberian antibiotik dan terapi bedah seperti insisi drainase. Studi ini adalah ulasan singkat mengenai Prinsip Pengobatan Septic Arthritis Of The Knee saat ini. Referensi review ini diambil dari jurnal terbaru hingga 5 tahun dan buku terbaru hingga 10 tahun.
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