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#5-79E. Rethinking Emergency Surgery: Key Insights from the SANJO Guidelines (JBJI, 2023)
2026年9月28日 12:00·6分19秒
How should clinicians manage native joint septic arthritis when surgical resources are limited overnight? The 2023 European Bone and Joint Infection Society (SANJO) guidelines highlight that in stable patients without sepsis, surgical intervention can be safely postponed up to 24 hours following preliminary joint aspiration, saline irrigation, and empirical antibiotic initiation. Although many recommendations rely on low-quality evidence or expert consensus due to a lack of large-scale randomized trials, this landmark consensus provides a standardized clinical roadmap—from diagnostic joint aspiration priority to early oral antibiotic de-escalation—enabling optimized timing for surgery and tailored patient care.
Citation: Christen Ravn, Jeroen Neyt, Natividad Benito, Charles Vogely, Alex Soriano, et al. Guideline for management of septic arthritis in native joints (SANJO). Journal of Bone and Joint Infection. 2023. DOI: 10.5194/jbji-8-29-2023
URL: https://doi.org/10.5194/jbji-8-29-2023
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