Efficacy of empiric abx for septic olecranon bursitis without aspiration in ED


  • In this series, 84% of patient was discharged from ED, 55.3% with antibiotic. Only 1.5% had elbow aspiration in ED. 88% had resolution at follow-up.

Bottom line

  • Author concluded that aspiration in ED is not necessary even when septic bursitis is suspected, and most can be managed with outpatient antibiotic
  • Performing a CRP blood test, and/or referral to orthopedic service, is associated with admission and antibiotic administration
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