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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, Vol. 28, No. 9, 01.10.2013, p. 1677-80.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Klatte, TO, Meinicke, R, O'Loughlin, P, Rueger, JM, Gehrke, T & Kendoff, D 2013, 'Incidence of bacterial contamination in primary THA and combined hardware removal: analysis of preoperative aspiration and intraoperative biopsies', J ARTHROPLASTY, vol. 28, no. 9, pp. 1677-80. https://doi.org/10.1016/j.arth.2013.02.017

APA

Klatte, T. O., Meinicke, R., O'Loughlin, P., Rueger, J. M., Gehrke, T., & Kendoff, D. (2013). Incidence of bacterial contamination in primary THA and combined hardware removal: analysis of preoperative aspiration and intraoperative biopsies. J ARTHROPLASTY, 28(9), 1677-80. https://doi.org/10.1016/j.arth.2013.02.017

Vancouver

Klatte TO, Meinicke R, O'Loughlin P, Rueger JM, Gehrke T, Kendoff D. Incidence of bacterial contamination in primary THA and combined hardware removal: analysis of preoperative aspiration and intraoperative biopsies. J ARTHROPLASTY. 2013 Oct 1;28(9):1677-80. https://doi.org/10.1016/j.arth.2013.02.017

Bibtex

@article{c8b0006c974144f29273c7f3788fc648,
title = "Incidence of bacterial contamination in primary THA and combined hardware removal: analysis of preoperative aspiration and intraoperative biopsies",
abstract = "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.",
keywords = "Adolescent, Adult, Aged, Aged, 80 and over, Arthroplasty, Replacement, Hip, Biopsy, Device Removal, Equipment Contamination, Female, Femoral Fractures, Fracture Fixation, Internal, Hip Prosthesis, Humans, Joint Diseases, Male, Middle Aged, Osteotomy, Prosthesis-Related Infections, Suction, Young Adult",
author = "Klatte, {Till O} and Ralf Meinicke and Padhraig O'Loughlin and Rueger, {Johannes M} and Thorsten Gehrke and Daniel Kendoff",
note = "Copyright {\textcopyright} 2013 Elsevier Inc. All rights reserved.",
year = "2013",
month = oct,
day = "1",
doi = "10.1016/j.arth.2013.02.017",
language = "English",
volume = "28",
pages = "1677--80",
journal = "J ARTHROPLASTY",
issn = "0883-5403",
publisher = "Churchill Livingstone",
number = "9",

}

RIS

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 -