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Lompoc, CA
A female asked:

What is the recommended treatment for staphylococcus capitis infection revealed in a culture after surgery on a swollen arthritic knee?

2 doctor answers5 doctors weighed in
Dr. Ralf Lukner
Internal Medicine 10 years experience
It depends: Staph capitis is a coagulase negative Staph species. If this was found in 1 of 4 blood culture bottles, it may be a contaminant (artifact of blood culture sample through skin). If this organism was found in the culture of the knee (aspirate, synovial fluid), then its presence is more worrisome and an infectious disease specialist should be consulted on how to further evaluate and maybe treat.
Dr. Edward Hellman
Orthopedic Surgery 29 years experience
Wash out, antibiotic: Appropriate antibiotic coverage and washout of knee until infection clearly irradicated. There is a blood test known as crp that shows how the infection treatment is going and should be normalized for several weeks before antibiotics discontinued.

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Last updated Jan 5, 2019

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