Chronic periprosthetic hip infection: micro-organisms responsible for infection and re-infection

Клюшин, Н. М.; Ермаков, А. М.; Malkova, Tatiana A

doi:10.1007/s00264-016-3341-x

Cited by 10 publications

(2 citation statements)

References 28 publications

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“…A systematic review and metaanalysis based on aggregate published data found the reinfection rate after one-or two-stage revision to be approximately 8% [2]. Staphylococcus species were identified in about half of patients, which is consistent with findings provided by Kliushin et al [12].…”

Section: Discussionsupporting

confidence: 85%

Two stage revision hip arthroplasty in periprosthetic joint infection. Comparison study: with or without the use of a spacer

Marczak

Synder

Sibiński

et al. 2017

International Orthopaedics (SICOT)

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Purpose The aim of this study was to compare two methods of two-stage surgery for PJI (periprosthetic joint infection) after THA (total hip arthroplasty): one with and one without the use of an antibiotic-loaded cement spacer. Methods This retrospective study was performed on 99 consecutive patients (99 hips) with a minimum follow-up of 24 months. Patients were divided into two groups: (1) in whom the operation was performed using a spacer, and (2) for whom a spacer was not used. Results For the whole cohort, the results improved between pre-operative and final follow-up. Recurrence of infection was found in nine out of 98 patients (9.2%) and was not significantly different between the two groups. Patients treated with a spacer had better functional improvement in the interim period, but the VAS score was better in the non-spacer group. The improvement in final function was better in the spacer group with regard to HHS, but not according to WOMAC score or VAS at final follow-up. Conclusion The resection arthroplasty should be awarded particular consideration in cases of poor soft tissue quality, bone stock deficiency, when complications related to spacer use are expected or chances of new hip endoprosthesis implantation are low.

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Section: Discussionsupporting

confidence: 85%

Two stage revision hip arthroplasty in periprosthetic joint infection. Comparison study: with or without the use of a spacer

Marczak

Synder

Sibiński

et al. 2017

International Orthopaedics (SICOT)

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“…However, studies that only described long-term NSSSI after THA were excluded. [95] Thirdly, the extracted data of included studies were from multiple large-scale databases or individual hospitals, and there may be situations that multiple data were used interchangeably.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and potential influencing factors of non-superficial surgical site infection in patients with total hip arthroplasty: A systematic review and meta-analysis

Tian

Chen

Zhang

et al. 2022

Preprint

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Objective To assess the prevalence of non-superficial surgical site infection (NSSSI) in patients with total hip arthroplasty (THA) and the influencing factors. Method The PubMed, the Cochrane Library, EMBASE, China National Knowledge Infrastructure (CNKI), Weipu database and Wanfang database were systematically searched from 2016 to 2021. The data were collected from the included studies that met the inclusion criteria. For exploring the prevalence of NSSSI with THA, the pooled prevalence and its 95% confidence intervals (CI) were calculated. Publication bias was assessed. In the study of the association between potential influencing factors and infection, the odds ratio and its 95% CI were calculated. Results In all, 57 studies involving 2075304 patients were included. The number of patients receiving THA ranged from 87 to 623253, and the prevalence of patients with NSSSI after THA ranged from 0.05% to 9.13%. The meta-analysis results showed that the prevalence of patients with NSSSI after THA was 1.0% (95% CI: 0.8%, 1.1%). No publication bias was found under Begg’s test (z=0.28, p>0.05) or Egger's test (t=1.65, p>0.05). When stratified by data scale, pooled prevalence of studies with large-scale data and that of studies with normal-scale data were similar (large-scale: 0.9% (95%CI: 0.6%-1.3%); normal-scale: 1.1% (95%CI: 0.9%-1.2%), respectively). When stratified by country, the prevalence of different countries was of various. Individual results showed that the prevalence of Netherlands was the highest (9.5%) and that of New Zealand was the lowest (0.1%). Pooled results showed that China had the highest prevalence of 2.2% (95%CI: 1.8%-2.7%), and UK had the lowest prevalence of 0.3% (95%CI: 0.0%-0.6%). Ten influencing factors of NSSSI in patients with THA were recognized (p<0.05), including male, tobacco smoker, body mass index, diabetes mellitus, American Society of Anesthesiologists grade III or IV or V, serum albumin <3.5 g/dL, immunosuppressive agent user, universal anesthesia, non-vancomycin powder user, and duration of drain >48h.Conclusion The pooled prevalence of NSSSI in patients after THA was 1.0% and 10 potential factors were associated with the prevalence. We provide clinical guidance to prevent NSSSI after THA.

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Partial component-retained two-stage reconstruction for chronic infection after uncemented total hip arthroplasty: results of sixteen cases after five years of follow-up

Chen

Tsai

et al. 2017

International Orthopaedics (SICOT)

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Chronic periprosthetic hip infection: micro-organisms responsible for infection and re-infection

Cited by 10 publications

References 28 publications

Two stage revision hip arthroplasty in periprosthetic joint infection. Comparison study: with or without the use of a spacer

Two stage revision hip arthroplasty in periprosthetic joint infection. Comparison study: with or without the use of a spacer

Prevalence and potential influencing factors of non-superficial surgical site infection in patients with total hip arthroplasty: A systematic review and meta-analysis

Partial component-retained two-stage reconstruction for chronic infection after uncemented total hip arthroplasty: results of sixteen cases after five years of follow-up

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