Question for the group - If you have a case that is highly suspicious for septic arthritis of the hip, in an otherwise healthy child, do you immediately start them on antibiotics or wait for Orthopedics to do a wash out or aspiration of the joint first? What if the child couldn't be taken to the OR that night, and instead was to be taken in the morning, some 8 hours later (because these things always present at 1am?) Would you still hold off on antibiotics until a sample was obtained? Just trying to see if standard of care was met by the ER for this case, and can't seem to pull up any clear cut evidence that it wasn't.
Christopher KellyMedical DirectorPediatric Emergency MedicineNew York Methodist HospitalBrooklyn, New York
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