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Evidence summaries

Bursal Fluid Cell Count in Septic and Non-Septic Bursitis

Bursal fluid leukocyte count above 2000 x 106 /l may have a sensitivity of over 90% and a specificity of about 80% in the diagnosis of septic bursitis. Level of evidence: "C"

In a prospective study 1 of 36 patients (28 with olecranon and 8 with prepatellar bursitis) were recruited from 54 consequtive patients with these conditions. The bursitis was classified either septic or non-septic by an independent panel of senior clinicians, not otherwise involved in the study, on the basis of clinical, laboratory, treatment, and follow-up data. Median white cell counts in septic cases were higher than in non-septic cases (p<0.001, Mann-Whitney U test). Counts > 2000 x 10-6 /l had a sensitivity of 94% (95% CI 81% to 107%) and a specificity of 79% (95% CI 60% to 98%) in the detection of septic cases.

References

  • Stell IM, Gransden WR. Simple tests for septic bursitis: comparative study. BMJ 1998 Jun 20;316(7148):1877. [PubMed]

Primary/Secondary Keywords