"Kocher criteria"

Age and C-reactive protein as modifiers of Kocher criteria in pediatric septic knee monoarthritis. Although Kocher criteria can distinguish a septic hip from an aseptic cause, they may not apply to a septic knee. We aimed to identify predictors to discriminate septic and aseptic causes of acute knee monoarthritis in children who underwent arthrocentesis. We conducted a retrospective cohort study -tier model with addition of fever >38.5°C (AUC 0.776) performed better than Kocher criteria (AUC 0.677), modified Kocher criteria (AUC 0.699) and Full Model (adding age ≤ 5 years and CRP >2 mg/dL to Kocher criteria) (AUC 0.746). Full Model successfully ruled out septic arthritis if all 6 criteria were negative. Based on these findings, we propose an algorithm to identify low, intermediate and high

Tools you should use: Kocher criteria for septic arthritis of the hip Tools you should use: Kocher criteria for septic arthritis of the hip – PEMBlogSkip to contentTwitterFacebookInstagramRssVimeoYouTubeDropboxEmailSearch for: * Videos * Podcasts * About Me * Search for: * Videos * Podcasts * About Me * * View Larger ImageTools you should use: Kocher criteria for septic arthritis of the hipBy Brad Sobolewski, MD, MEd|2022-01-12T22:49:26-05:00January 13th, 2022|Infectious Diseases, Orthopedics|One of the great examples of a validated decision rule in pediatrics, the Kocher criteria allows you to assess the risk of septic arthritis of the hip in a child. Differentiating transient synovitis (nee toxic synovitis) from septic arthritis is something that I guarantee you will do if you treat

Summer Reading List: Kocher Criteria Summer Reading List: Kocher Criteria – PEMBlogSkip to contentTwitterFacebookInstagramRssVimeoYouTubeDropboxEmailSearch for: * Videos * Podcasts * About Me * Search for: * Videos * Podcasts * About Me * * View Larger ImageSummer Reading List: Kocher CriteriaBy Brad Sobolewski, MD, MEd|2016-12-14T12:56:37-05:00August 18th, 2016|Infectious Diseases, Orthopedics ! a Lyme Disease podcast June 2nd, 2022 * Briefs: Vulvovaginitis in the prepubertal child May 26th, 2022 * Podcast Briefs: Toxic Shock Syndrome May 11th, 2022 * Fracture Fridays: Buckle Up! April 8th, 2022 * Briefs: Steroids for pharyngitis February 24th, 2022 * Tools you should use: Kocher criteria for septic arthritis of the hip January 13th, 2022 * Tools you should use: UTI Calculator

and metabolites can rapidly result in cartilage damage [11]. The Kocher criteria, first described in 1999, are widely applied in evaluation of the hip joint as a means to distinguish septic arthritis (surgical emergency) from transient synovitis (expectant management) [14]. The criteria include fever >101.3oF, erythrocyte sedimentation rate of at least 40 mm/hour, white blood cell (WBC) count

; analgesia * (Kocher criteria) can be used to “help” decide between TS and SA. * fever, * inability to bear weight, * ESR of 40 mm/ (CRP > 20 mg/L) hr or higher, * serum WBC count higher than 12,000 cells/μL. * Patients with three of the four predictors had a 93% chance of having septic this algorithm was tested at another institution, however, the presence of all four Kocher criteria predicted septic arthritis only 59% of the time. * A CRP level can also help risk-stratify children for septic arthritis. In a study of children with hip effusions, children with the ability to bear weight combined with CRP values lower than 20 mg/L had less than a 1% risk of septic arthritis. Children unable

. Pediatric whole-body MRI: A review of current imaging techniques and clinical applications. J Magn Reson Imaging 2016;44:783-93. 56. Nguyen A, Kan JH, Bisset G, Rosenfeld S. Kocher Criteria Revisited in the Era of MRI: How Often Does the Kocher Criteria Identify Underlying Osteomyelitis? J Pediatr Orthop 2017;37:e114-e19. ACR Appropriateness Criteria® 13 Acutely Limping Child Up To Age 5 57

the empiric management of suspected septic arthritisAntibiotics for septic arthritis / osteomyelitis (same for IVDU and Sickle Cell) * Ceftriaxone + Vancomycin * Add pseudomonal coverage for infected prosthetic (eg. cipro or mero or piptazo)Unless that Gram stain comes back!See Rosen’s Tables 128.1 and 128.4 in the 9th EditionWisecracks[1] What are Kocher’s Criteria Kocher’s Critieria: Used to help

, Canadian Syncope Risk Score, Canadian Transient Ischemic Attack (TIA) Score, CHADS2 score, EDACS (there is one RCT, but only against another decision rule, not a real control group), Glasgow Coma Scale, HAS-BLED, RASP, qSOFA, LRINEC, Kocher Criteria for Septic Arthritis, Injury Severity Score, Ottawa Subarachnoid Haemorrhage (SAH) Rule, Ottawa COPD Risk Scale, Pneumonia Severity Index, Ranson’s criteria

in the prepubertal child May 26th, 2022 * Podcast Briefs: Toxic Shock Syndrome May 11th, 2022 * Briefs: Steroids for pharyngitis February 24th, 2022 * Tools you should use: Kocher criteria for septic arthritis of the hip January 13th, 2022 * PEMPix 2021 Online Case 03: The Secret of Him? October 7th, 2021 * Briefs: STI prophylaxis following sexual assault September 30th, 2021 * Some quick teaching

region avulsion fractures in adolescent athletes: a series of 242 cases. Clin J Sport Med. Published online September 15, 2020.Share this postFacebookTwitterRedditWhatsAppEmailAbout the Author:Dennis RenRelated Posts * Fracture Fridays: Buckle Up! April 8th, 2022 * Tools you should use: Kocher criteria for septic arthritis of the hip January 13th, 2022 * A podcast episode on reducing the dislocated

February 24th, 2022 * Tools you should use: Kocher criteria for septic arthritis of the hip January 13th, 2022 * Tools you should use: UTI Calculator January 10th, 2022 * PEMPix 2021 Online Case 03: The Secret of Him? October 7th, 2021 * Briefs: STI prophylaxis following sexual assault September 30th, 2021 * Some quick teaching points on bronchiolitis for those of you who don’t tweet September

in the prepubertal child May 26th, 2022 * Podcast Briefs: Toxic Shock Syndrome May 11th, 2022 * Briefs: Steroids for pharyngitis February 24th, 2022 * Tools you should use: Kocher criteria for septic arthritis of the hip January 13th, 2022 * Tools you should use: UTI Calculator January 10th, 2022 * PEMPix 2021 Online Case 03: The Secret of Him? October 7th, 2021 * Briefs: STI prophylaxis following

: Vulvovaginitis in the prepubertal child May 26th, 2022 * Podcast Briefs: Toxic Shock Syndrome May 11th, 2022 * Briefs: Steroids for pharyngitis February 24th, 2022 * Tools you should use: Kocher criteria for septic arthritis of the hip January 13th, 2022 * Tools you should use: UTI Calculator January 10th, 2022 * Podcast Briefs: Cannabis Hyperemesis Syndrome October 29th, 2021 * PEMPix 2021 Online

are strictly my own and not official medical advice.Related Posts * Briefs: The fever that rashes July 7th, 2022|0 Comments * Tick, tick, boom! a Lyme Disease podcast June 2nd, 2022 * Briefs: Vulvovaginitis in the prepubertal child May 26th, 2022 * Podcast Briefs: Toxic Shock Syndrome May 11th, 2022 * Briefs: Steroids for pharyngitis February 24th, 2022 * Tools you should use: Kocher criteria

Disease podcast June 2nd, 2022 * Briefs: Vulvovaginitis in the prepubertal child May 26th, 2022 * Podcast Briefs: Toxic Shock Syndrome May 11th, 2022 * Briefs: Steroids for pharyngitis February 24th, 2022 * Tools you should use: Kocher criteria for septic arthritis of the hip January 13th, 2022 * Tools you should use: UTI Calculator January 10th, 2022 * PEMPix 2021 Online Case 03: The Secret

: Kocher criteria for septic arthritis of the hip January 13th, 2022 * Tools you should use: UTI Calculator January 10th, 2022 * Podcast Briefs: Stress Dose Steroids November 9th, 2021 * PEMPix 2021 Online Case 03: The Secret of Him? October 7th, 2021 * Briefs: STI prophylaxis following sexual assault September 30th, 2021 * Some quick teaching points on bronchiolitis for those of you who don’t

): 13-4 XIV. Precautions 1. When higher clinical suspicion, fully exclude septic hip (u/s, MRI, hip Joint Aspiration) regardless of Kocher Criteria XV. Management 1. Non-weight bearing on affected leg 2. Bed rest for 2 to 3 days 3. NSAIDs 1. May speed up recovery time 2. Also offers Analgesic effect 3. Failure to improve with NSAIDs should prompt reconsideration of differential