Article Text

PDF
BET 3 IS THE WHITE CELL COUNT OF THE JOINT ASPIRATE SUFFICIENTLY SENSITIVE/SPECIFIC TO RULE IN/OUT SEPTIC ARTHRITIS?

Statistics from Altmetric.com

Report by: Anna O’Malley, Medical Student

Search checked by: Helene Svinos, Medical Student

Institution: University of Manchester, Manchester, UK

A short-cut review was carried out to establish whether the white cell count (WCC) in joint aspirate can rule in or rule out the presence of septic arthritis (SA). A total of 115 citations was reviewed, of which five partly answered the three-part question. The clinical bottom line is that the WCC alone of the joint aspirate does not have the sensitivity or specificity to rule out or rule in SA.

Three-part question

In [adults presenting to the ED with an acute hot joint] is [WBC of the joint aspirate] sufficiently specific and sensitive [to rule in/out septic arthritis].

Clinical scenario

A 20-year-old university student presents to the emergency department with a 2-day history of a hot, swollen joint. …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.