text: Acute nongonococcal septic arthritis is a medical emergency which causes severe joint destruction and may increase both morbidity and mortality. So prompt diagnosis and treatment with antibiotic therapy and  prompt drainage which reduces long-term complications. Vancomycin is recommended as either empirical therapy for patients with Gram-positive cocci on a synovial fluid Gram stain or as a component of regimen for those with a negative Gram stain if methicillin-resistant Staphylococcus aureus (MRSA) is prevalent.  If Gram-negative bacilli are observed, an anti-pseudomonal Cephalosporin (e.g., Ceftazidime, Cefepime) should be administered.  Carbapenems should be considered in conditions such as colonization or infection by extended-spectrum β-lactamase–producing pathogens.  The optimal duration of therapy for septic arthritis remains uncertain.  A minimum 3- to 4 week course is suggested for septic arthritis caused by S. aureus or Gram-negative bacteria.  The use of Corticosteroids or intraarticular antibiotics is not advisable.
option_0: Septic arthritis medical therapy
option_1: Reactive arthritis medical therapy
option_2: Psoriatic arthritis medical therapy
option_3: Bursitis medical therapy
option_4: Septic arthritis surgical management
option_5: Osteoarthritis medical therapy
option_6: Juvenile idiopathic arthritis medical therapy
option_7: Psoriatic arthritis surgical therapy