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Improved treatment strategies can result in better outcomes following one-stage exchange surgery for MRSA periprosthetic joint infection

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Improved treatment strategies can result in better outcomes following one-stage exchange surgery for MRSA periprosthetic joint infection. / Ohlmeier, Malte; Filitarin, Sergei; Delgado, Giorgio; Frings, Jannik; Abdelaziz, Hussein; Salber, Jochen; Frommelt, Lars; Gehrke, Thorsten; Citak, Mustafa.

in: J MED MICROBIOL, Jahrgang 69, Nr. 8, 08.2020, S. 1100-1104.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Ohlmeier, M, Filitarin, S, Delgado, G, Frings, J, Abdelaziz, H, Salber, J, Frommelt, L, Gehrke, T & Citak, M 2020, 'Improved treatment strategies can result in better outcomes following one-stage exchange surgery for MRSA periprosthetic joint infection', J MED MICROBIOL, Jg. 69, Nr. 8, S. 1100-1104. https://doi.org/10.1099/jmm.0.001229

APA

Ohlmeier, M., Filitarin, S., Delgado, G., Frings, J., Abdelaziz, H., Salber, J., Frommelt, L., Gehrke, T., & Citak, M. (2020). Improved treatment strategies can result in better outcomes following one-stage exchange surgery for MRSA periprosthetic joint infection. J MED MICROBIOL, 69(8), 1100-1104. https://doi.org/10.1099/jmm.0.001229

Vancouver

Ohlmeier M, Filitarin S, Delgado G, Frings J, Abdelaziz H, Salber J et al. Improved treatment strategies can result in better outcomes following one-stage exchange surgery for MRSA periprosthetic joint infection. J MED MICROBIOL. 2020 Aug;69(8):1100-1104. https://doi.org/10.1099/jmm.0.001229

Bibtex

@article{06bc746b5fe34621b864e176e1f60921,
title = "Improved treatment strategies can result in better outcomes following one-stage exchange surgery for MRSA periprosthetic joint infection",
abstract = "Introduction. Periprosthetic joint infections caused by methicillin-resistant Staphylococcus aureus (MRSA-PJIs) are rare, with only a few studies reporting the treatment outcomes and even fewer reporting outcomes with one-stage exchange.Aim. This study aims to analyse the outcomes of one-stage exchange in the management of MRSA-PJIs.Methodology. Patients with MRSA-PJI of the hip and knee, who were treated with a one-stage exchange between 2001 and 2018 were enrolled in this study. The final cohort comprised of 29 patients, which included 23 hips and six knees. The mean follow-up was 5.3 years (1-9 years). Reinfection and complications rates after the one-stage exchange were analysed.Results. Overall infection control could be achieved in 93.1 % (27 out of 29 patients). The overall revision rate was 31.0% (9 patients), with three patients requiring an in-hospital revision (10.3 %). Six patients had to be revised after hospital discharge (20.7 %). Of the two reinfections, one had a growth of MRSA while the other was of methicillin-sensitive Staphyloccocus epidermidis.Conclusion. One-stage exchange surgery using current techniques could improve surgical outcomes with excellent results in the management of MRSA-PJIs.",
keywords = "Adult, Aftercare, Aged, Aged, 80 and over, Anti-Bacterial Agents/administration & dosage, Arthritis, Infectious/surgery, Cohort Studies, Debridement, Female, Hip Prosthesis/adverse effects, Humans, Knee Prosthesis/adverse effects, Male, Methicillin-Resistant Staphylococcus aureus, Middle Aged, Prosthesis-Related Infections/surgery, Recurrence, Reoperation, Retrospective Studies, Staphylococcal Infections/surgery, Time Factors, Treatment Outcome",
author = "Malte Ohlmeier and Sergei Filitarin and Giorgio Delgado and Jannik Frings and Hussein Abdelaziz and Jochen Salber and Lars Frommelt and Thorsten Gehrke and Mustafa Citak",
year = "2020",
month = aug,
doi = "10.1099/jmm.0.001229",
language = "English",
volume = "69",
pages = "1100--1104",
journal = "J MED MICROBIOL",
issn = "0022-2615",
publisher = "Society for General Microbiology",
number = "8",

}

RIS

TY - JOUR

T1 - Improved treatment strategies can result in better outcomes following one-stage exchange surgery for MRSA periprosthetic joint infection

AU - Ohlmeier, Malte

AU - Filitarin, Sergei

AU - Delgado, Giorgio

AU - Frings, Jannik

AU - Abdelaziz, Hussein

AU - Salber, Jochen

AU - Frommelt, Lars

AU - Gehrke, Thorsten

AU - Citak, Mustafa

PY - 2020/8

Y1 - 2020/8

N2 - Introduction. Periprosthetic joint infections caused by methicillin-resistant Staphylococcus aureus (MRSA-PJIs) are rare, with only a few studies reporting the treatment outcomes and even fewer reporting outcomes with one-stage exchange.Aim. This study aims to analyse the outcomes of one-stage exchange in the management of MRSA-PJIs.Methodology. Patients with MRSA-PJI of the hip and knee, who were treated with a one-stage exchange between 2001 and 2018 were enrolled in this study. The final cohort comprised of 29 patients, which included 23 hips and six knees. The mean follow-up was 5.3 years (1-9 years). Reinfection and complications rates after the one-stage exchange were analysed.Results. Overall infection control could be achieved in 93.1 % (27 out of 29 patients). The overall revision rate was 31.0% (9 patients), with three patients requiring an in-hospital revision (10.3 %). Six patients had to be revised after hospital discharge (20.7 %). Of the two reinfections, one had a growth of MRSA while the other was of methicillin-sensitive Staphyloccocus epidermidis.Conclusion. One-stage exchange surgery using current techniques could improve surgical outcomes with excellent results in the management of MRSA-PJIs.

AB - Introduction. Periprosthetic joint infections caused by methicillin-resistant Staphylococcus aureus (MRSA-PJIs) are rare, with only a few studies reporting the treatment outcomes and even fewer reporting outcomes with one-stage exchange.Aim. This study aims to analyse the outcomes of one-stage exchange in the management of MRSA-PJIs.Methodology. Patients with MRSA-PJI of the hip and knee, who were treated with a one-stage exchange between 2001 and 2018 were enrolled in this study. The final cohort comprised of 29 patients, which included 23 hips and six knees. The mean follow-up was 5.3 years (1-9 years). Reinfection and complications rates after the one-stage exchange were analysed.Results. Overall infection control could be achieved in 93.1 % (27 out of 29 patients). The overall revision rate was 31.0% (9 patients), with three patients requiring an in-hospital revision (10.3 %). Six patients had to be revised after hospital discharge (20.7 %). Of the two reinfections, one had a growth of MRSA while the other was of methicillin-sensitive Staphyloccocus epidermidis.Conclusion. One-stage exchange surgery using current techniques could improve surgical outcomes with excellent results in the management of MRSA-PJIs.

KW - Adult

KW - Aftercare

KW - Aged

KW - Aged, 80 and over

KW - Anti-Bacterial Agents/administration & dosage

KW - Arthritis, Infectious/surgery

KW - Cohort Studies

KW - Debridement

KW - Female

KW - Hip Prosthesis/adverse effects

KW - Humans

KW - Knee Prosthesis/adverse effects

KW - Male

KW - Methicillin-Resistant Staphylococcus aureus

KW - Middle Aged

KW - Prosthesis-Related Infections/surgery

KW - Recurrence

KW - Reoperation

KW - Retrospective Studies

KW - Staphylococcal Infections/surgery

KW - Time Factors

KW - Treatment Outcome

U2 - 10.1099/jmm.0.001229

DO - 10.1099/jmm.0.001229

M3 - SCORING: Journal article

C2 - 32639225

VL - 69

SP - 1100

EP - 1104

JO - J MED MICROBIOL

JF - J MED MICROBIOL

SN - 0022-2615

IS - 8

ER -