Incidence of bacterial contamination in primary THA and combined hardware removal: analysis of preoperative aspiration and intraoperative biopsies
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Incidence of bacterial contamination in primary THA and combined hardware removal: analysis of preoperative aspiration and intraoperative biopsies. / Klatte, Till O; Meinicke, Ralf; O'Loughlin, Padhraig; Rueger, Johannes M; Gehrke, Thorsten; Kendoff, Daniel.
in: J ARTHROPLASTY, Jahrgang 28, Nr. 9, 01.10.2013, S. 1677-80.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Incidence of bacterial contamination in primary THA and combined hardware removal: analysis of preoperative aspiration and intraoperative biopsies
AU - Klatte, Till O
AU - Meinicke, Ralf
AU - O'Loughlin, Padhraig
AU - Rueger, Johannes M
AU - Gehrke, Thorsten
AU - Kendoff, Daniel
N1 - Copyright © 2013 Elsevier Inc. All rights reserved.
PY - 2013/10/1
Y1 - 2013/10/1
N2 - Prior fracture surgery in the setting of subsequent arthroplasty may confer an increased risk of infection. The current authors retrospectively reviewed 122 patients from 2006 to 2010. Joint aspirations performed preoperatively in two of 52 patients revealed bacterial growth. Preoperative CRP levels were elevated in 22.8% with a mean value of 10.4 mg/L (range 5.5 to 33.3). Intra-operative cultures were performed in 109 patients, with a single patient sample exhibiting bacterial growth (0.9%). Preoperative aspiration showed a sensitivity of 1.0 and specificity of 0.98 (P<0.039) for bacterial contamination. There was no postoperative periprosthetic infection noted. In conclusion the retrieval of internal fixation devices and total hip arthroplasty can be performed safely as a single stage procedure without significantly increasing the risk of periprosthetic infection.
AB - Prior fracture surgery in the setting of subsequent arthroplasty may confer an increased risk of infection. The current authors retrospectively reviewed 122 patients from 2006 to 2010. Joint aspirations performed preoperatively in two of 52 patients revealed bacterial growth. Preoperative CRP levels were elevated in 22.8% with a mean value of 10.4 mg/L (range 5.5 to 33.3). Intra-operative cultures were performed in 109 patients, with a single patient sample exhibiting bacterial growth (0.9%). Preoperative aspiration showed a sensitivity of 1.0 and specificity of 0.98 (P<0.039) for bacterial contamination. There was no postoperative periprosthetic infection noted. In conclusion the retrieval of internal fixation devices and total hip arthroplasty can be performed safely as a single stage procedure without significantly increasing the risk of periprosthetic infection.
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Arthroplasty, Replacement, Hip
KW - Biopsy
KW - Device Removal
KW - Equipment Contamination
KW - Female
KW - Femoral Fractures
KW - Fracture Fixation, Internal
KW - Hip Prosthesis
KW - Humans
KW - Joint Diseases
KW - Male
KW - Middle Aged
KW - Osteotomy
KW - Prosthesis-Related Infections
KW - Suction
KW - Young Adult
U2 - 10.1016/j.arth.2013.02.017
DO - 10.1016/j.arth.2013.02.017
M3 - SCORING: Journal article
C2 - 23523208
VL - 28
SP - 1677
EP - 1680
JO - J ARTHROPLASTY
JF - J ARTHROPLASTY
SN - 0883-5403
IS - 9
ER -