Related Experiment Video
Updated: May 20, 2026

Knee Arthrocentesis in Adults
Published on: February 25, 2022
Septic arthritis in the native joint
Meghan B Brennan1, Jennifer L Hsu
1Division of Infectious Disease, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, Madison, WI, 53705, USA, mbbrennan@medicine.wisc.edu.
Abstract:
Septic arthritis of the native joint is an uncommon infection but, when present, creates a significant risk for functional impairment of the affected joint or, in severe cases, mortality. Knowledge of the most common pathogens, as well as appropriate diagnostics, can facilitate earlier diagnosis and treatment, which, ideally, leads to improved long-term outcomes. In this article, we discuss recent microbiologic trends and diagnostic tests, with an update on use of molecular testing. Empiric antibiotic regimens for native joint septic arthritis are reviewed, as well as potential new therapies on the horizon.
Insights
Septic arthritis, though uncommon, poses serious risks. Early diagnosis and treatment, informed by current microbiologic trends and diagnostics, are crucial for better patient outcomes and preventing joint damage or mortality.
Area of Science:
- Infectious Diseases
- Rheumatology
- Microbiology
Background:
- Septic arthritis of the native joint is a rare but serious condition.
- It can lead to significant functional impairment and mortality.
- Understanding common pathogens and diagnostic methods is key for timely intervention.
Purpose of the Study:
- To review recent trends in microbiologic pathogens causing septic arthritis.
- To discuss updated diagnostic approaches, including molecular testing.
- To examine current empiric antibiotic regimens and emerging therapies.
Main Methods:
- Review of recent literature on septic arthritis.
- Analysis of microbiologic trends and diagnostic test efficacy.
- Evaluation of current and novel therapeutic strategies.
Main Results:
- Discussion of common causative agents in native joint septic arthritis.
- Assessment of the utility of various diagnostic modalities.
- Overview of established and investigational treatment protocols.
Conclusions:
- Early and accurate diagnosis of septic arthritis is vital for optimal outcomes.
- Staying abreast of microbiologic shifts and diagnostic advancements is essential.
- Novel therapies may offer future improvements in managing this infection.
Related Concept Videos
Structural Joints: Synovial Joints
Rheumatic Heart Disease I: Introduction
Endocarditis II: Clinical Features of Infective Endocarditis
Ankle Joint
Endocarditis I: Introduction
Knee Joint
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...