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CompletedNCT05341908Updated Jun 25, 2026

Prevalence of Pathogens in Synovial Fluid Obtained From Emergency Department Patients

An observational study in Septic Arthritis and Joint Infection, sponsored by Olive View-UCLA Education & Research Institute. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-25.

Sponsored by Olive View-UCLA Education & Research Institute · Observational

Study type
Observational
Model
Ecologic or community
Time perspective
Prospective
Enrollment
750
Ages
18 Years and older
Sex
All
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Study summary

This is a prospective, observational study of patients presenting to the emergency departments at 9 EMERGEncy ID NET sites. The objectives of the proposed study are to:

  1. Describe the range and proportion of infectious agents in synovial fluid as detected by standard C\&S and investigational PCR testing, i.e., Biofire® Film Array® Bone and Joint Infection (BJI) Panel,
  2. Describe the epidemiology of patients receiving diagnostic arthrocentesis and those diagnosed with septic arthritis in the emergency department (ED),
  3. Determine the prevalence of septic arthritis in US ED patients presenting with an atraumatic painful swollen joint, and
  4. Determine the clinical (history and physical examination) and laboratory characteristics of septic arthritis.
  5. Determine the performance characteristics and concordance of synovial fluid PCR compared to culture, and project the impact of point-of-care PCR on patient management.

Study coordinators screen the ED log for adult patients presenting with joint pain and whose treating physician ordered an arthrocentesis. After confirming eligibility, study coordinators approach the patient to explain the study, and present the written consent form. If the patient agrees to participate and consent, the study coordinator completes an enrollment data collection using patient and treating physician interview to gather responses. After enrollment, the study coordinator will ensure that approximately 0.3-1.0 mL of leftover synovial fluid is saved and stored in a freezer for shipment to a central laboratory (Truman Medical Center hospital laboratory, Kansas City, MO) for testing. Approximately 30 days after enrollment, study coordinators complete an electronic medical record (EMR) review.

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Conditions studied

  • Septic Arthritis
  • Joint Infection

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In context

Arthritis, Infectious

123 studies on the registry are indexed under Arthritis, Infectious; 25 are open to participants now.

This study's enrollment of 750 is above the median of 100 across 72 observational studies indexed under Arthritis, Infectious.

Browse Arthritis, Infectious studies →

Lead sponsor

Olive View-UCLA Education & Research Institute is the lead sponsor of 12 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This is a prospective, multicenter, observational study being conducted at 9 EMERGEncy ID NET sites, Olive View-UCLA Medical Center, Los Angeles, CA; Temple University Hospital, Philadelphia, PA; University of Mississippi Medical Center, Jackson, MS; Valleywise Medical Center, Phoenix, AZ; Truman Medical Center/U. Missouri Kansas City, Kansas City, MO; Hennepin Medical Center, Minneapolis, MN, University of New Mexico Health Sciences Center, Albuquerque, NM; University of Iowa Hospital, Iowa City, IA; and Johns Hopkins Medical Institute, Baltimore, MD. These hospitals service a mostly urban and underserved population.

Patients presenting to the above hospital emergency departments will be approached by study team members who meet the above eligibility criteria. The target enrollment for the study is 500 participants.

Inclusion criteria

  1. Age 18 years and older;
  2. diagnostic arthrocentesis in the emergency department (ED) or during hospitalization if admitted from the ED;
  3. arthrocentesis and joint culture ordered; and
  4. provide written consent in English or Spanish

Exclusion criteria

Exclusion Criteria:

  1. Unable to consent or no legal authorized representative is available; or
  2. prisoner or parolee
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Study design

Observational model
Ecologic or community
Time perspective
Prospective
Enrollment
750 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna
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What researchers measure

Primary outcomes

  1. Prevalence of pathogens

    We will describe the prevalence of pathogens identified using PCR testing

    Time frame: Two years

  2. Prevalence of septic arthritis

    We will describe the prevalence of septic arthritis among patients who have joint taps in emergency departments

    Time frame: Two years

  3. Comparison of PCR and Synovial fluid culture results

    The results of the PCR testing will be compared to the results of testing at the site hospital laboratories. PCR positive patients that were not standard culture positive will be further reviewed to determine if there would potentially have been a change in patient management knowing this information.

    Time frame: Results of testing synovial fluid specimen collected at enrollment

Secondary outcomes

  1. Clinical characteristics of septic arthritis

    We will compare clinical characteristics, such as duration of symptoms, medical history, immunocompromising conditions, vitals, and demographics between those who have septic arthritis vs. those who do not to determine if there are possible predictors

    Time frame: Two years

  2. Laboratory characteristics of septic arthritis

    We will compare laboratory characteristics, such as white blood cell count, presence of crystals, gram stain, and culture results between those who have septic arthritis vs. those who do not to determine if there are possible predictors

    Time frame: Two years

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Study locations

1 site
  • Olive View-UCLA Medical Center
    Sylmar, California 91342, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05341908
Lead sponsor
Olive View-UCLA Education & Research Institute
Collaborators
BioFire Diagnostics, LLC, Centers for Disease Control and Prevention
Responsible party
David A. Talan (Professor of Medicine, Olive View-UCLA Education & Research Institute) — Principal investigator
First posted
Apr 22, 2022
Start date
Sep 1, 2021
Primary completion
Dec 31, 2023
Completion
Dec 31, 2023
Last update
Jun 25, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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