Home
Guidelines
Pathogens
Antimicrobials
1. Maintain NPO status until decision made to proceed or not with surgery.
2. Send joint fluid.
Red Tube: Cell Count
Blood Culture Bottle: Aerobic culture
If < 36mos: Kingella PCR*
*Kingella PCR
Order "Misc. Referral Lab Test "
Test code: 18872
Accepted Specimen type: 0.7mL synovial fluid in a leak-proof container
Performing Lab: Quest
Test name: Kingella kingae DNA, Qualitative, real-time PCR
3. Is aspiration consistent with septic arthritis?
WBC >50,000/mm³
75% neutrophils
Glucose <50 mg/dL
Yes - See Postoperative Management
No - See Transient Synovitis Pathway
