ED Pathway for the Evaluation/Treatment of the Child with Suspected Septic Arthritis

Antibiotics

Hip/Shoulder

All PATIENTS

Vancomycin 15 mg/kg, max 500 mg
Oxacillin 50 mg/kg, max 2 grams
ADD Ceftriaxone 50 mg/kg, max 2 grams
  • Suspect Lyme
  • Suspect Gonorrhea
  • Synovial fluid positive for Gram negative organism
Other Joints

All PATIENTS

Clindamycin* 13 mg/kg, max 900 mg
ADD Ceftriaxone 50 mg/kg, max 2 grams
  • Suspect Lyme
  • Suspect Gonorrhea
  • Synovial fluid positive for Gram negative organism

*Follow Hip/Shoulder recommendations if patient is ill appearing