Open AccessFetal Breech Presentation Predisposes to Subsequent Development of Septic Arthritis of the Hip
Author(s) -
Theodore J. Cieslak,
Michael Rajnik
Publication year - 2005
Publication title -
the pediatric infectious disease journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.028
H-Index - 140
eISSN - 1532-0987
pISSN - 0891-3668
DOI - 10.1097/01.inf.0000168851.56027.3f
Subject(s) - medicine , breech presentation , septic arthritis , pediatrics , confidence interval , pelvis , obstetrics , relative risk , arthritis , surgery , pregnancy , biology , genetics
We postulated a link between breech presentation and septic arthritis of the hip. To examine the potential association between these 2 relatively uncommon entities, we used the Patient Administration Systems and Biostatistics Activity (PASBA) database, which contains coded information derived from hospitalizations and ambulatory encounters at U.S. military hospitals worldwide. Among a cohort of nearly 1 million infants born in a 14-year period, 3.37% were found to be in the breech presentation. The rate of septic arthritis of the hip or pelvis during the first year of life among these breech infants was approximately 1/8000, providing a relative risk of 4.1 (95% confidence interval, <1.4-11.7) compared with the rate among nonbreech infants. Fetal breech presentation predisposes to the development of septic hip during the first year of life.