BACKGROUND: The epidemiology, outcome and management of olecranon @entity2585 (OSB) have not been described in a large cohort of ambulatory @entity1 . METHODS: A retrospective study of all 118 cases of OSB presenting over 21 months to all regional Home Parenteral Therapy Program clinics in Calgary (referral base approximately 1 million). RESULTS: The minimum population annual incidence was 10/100,000. The mean (and standard deviation) age was 44 (13) years, and males predominated (88%). One-third of @entity1 had at least one comorbid illness, with preceding injury in 53% of cases. The most common symptoms were @entity158 (87%), redness (77%) and @entity221 or chills (45%). Common signs included @entity5105 (92%), swelling (85%), @entity4 (75%), tenderness (59%), fluctuance (50%), heat (36%) and reduced range of motion (27%). Fever (body temperature of > or =37.8 degrees C) occurred in 20%. @entity794 was identified in 88% of culture-proven cases of OBS. The most common antibiotic regimen was sequential intravenous administration of @entity7048 (for a median of 4 d) followed by @entity3402 orally (for a median of 8 d). Sixty (51%) @entity1 required a drainage procedure and only 1 @entity1 required admission to hospital. CONCLUSION: OSB is more common than reported and can be treated successfully in ambulatory settings with sequential intravenous therapy followed by oral therapy and drainage in selected cases.

XXXX managed in an ambulatory setting. The Calgary Home Parenteral Therapy Program Study Group.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity7048 :: ('MESH:D002437', 'Chemical') :: ['cefazolin'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema'] @entity794 :: ('1280', 'Species') :: ['Staphylococcus aureus'] @entity5105 :: ('MESH:D004890', 'Disease') :: ['erythema'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity2585 :: ('MESH:D002062', 'Disease') :: ['septic bursitis'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever'] @entity3402 :: ('MESH:D002981', 'Chemical') :: ['clindamycin']
@entity2585 :: (MESH:D002062,Disease) :: ['Olecranon septic bursitis']
