MedPath

Spectrum of Bacterial Infections in Rheumatology

Completed
Conditions
Articular Disease
Registration Number
NCT05007405
Lead Sponsor
Hôpital NOVO
Brief Summary

Retrospective study of patients with a proved non-tuberculous osteoarticular infection (OAI) diagnosed in a rheumatology department during the years 2010-2020. The objectives are :

* To describe sites, type of micro-organism, clinical data, origin of infection, therapeutic modalities et outcome

* To compare OAI of urinary origin with those with another origin

Detailed Description

This retrospective study will be conducted on medical files. Patients will be mainly selected on :

* A proved osteoarticular infection (OAI) diagnosed in the department of rheumatology of the René Dubos hospital from 1° January 2010 to 31 December 2020.

* Adult patients 18 year's old or older

* Infection proved by positive culture in the osteoarticular site and/or blood (with typical clinical and imaging features)

The followed OAI are not included :

* Infection on prosthetic joint, materiel ; post-operative OAI ; osteomyelitis

* Brucellosis ; Lyme disease

Patients are selected from the codification of the hospitalization ; medical files are reviewed by the investigators.

OAI of urinary origin is defined either by the same micro-organism in urine and osteo-articular sample (or blood) or a bacteria in the osteo-articular sample in conjunction with : urologic pathology, recurrent urinary tract infection, urologic surgery, antibiotic therapy.

* Characteristics of three populations will be compared :

* - OAI of urinary origin

* - OAI of another origin (skin, etc)

* - OAI without known origin Characteristics include : gender, age, risk factors, site of osteo-articular infection, type of micro-organism, type of positive sample(s), blood cultures, urinary cultures, duration of symptoms, site of primary infection and/or type of contamination, biological results, echocardiography, imaging results, type of treatment (medical, surgical), outcome, duration of hospitalization, intensive unit care stay, death at hospital.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
81
Inclusion Criteria
  • Subject aged 18 years and over at the time of diagnosis
  • Osteoarticular infection (septic arthritis, spondylodiscitis), by a bacterium or a fungus, proven by a bacteriological sample in situ or in the blood by positive blood culture (with an unequivocal clinical, biological and imaging feature),
  • Diagnosed between 01/01/2010 and 12/31/2020 (11 years)
  • Hospitalization in the rheumatology department of CH René Dubos, Pontoise
Exclusion Criteria
  • Bacterial infection due to the following germs: mycobacteria, brucella, Borrelia
  • Early infection on joint prosthesis
  • Peripheral osteomyelitis
  • Osteoarticular infection without bacteriological proof

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Identification of the spectrum of osteoarticular infections in adult, in a rheumatology departmentThrough study completion, an average of 1 year

The purpose of this database is to describe the spectrum of osteoarticular infections in adults, non-tuberculosis germs, in a rheumatology department of a CHG during the 2010s

Secondary Outcome Measures
NameTimeMethod
Prevalence of urinary origin in osteoarticular infections in adults, compared with other originsThrough study completion, an average of 1 year

The second purpose of this database is to identify the characteristics of osteo-articular infections of urinary origin

Trial Locations

Locations (1)

Department of Rheumatology, Hospital René Dubos, Pontoise

🇫🇷

Pontoise, France

Department of Rheumatology, Hospital René Dubos, Pontoise
🇫🇷Pontoise, France

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