Clinical Experience With a Coordinated Multidisciplinary Approach to Treating Prosthetic Joint Infection

Carlson, V. R.; DeKeyser, Graham J.; Certain, Laura; Pupaibool, Jakrapun; Gililland, Jeremy M.; Anderson, Lucas A.

doi:10.1016/j.artd.2020.05.003

Cited by 12 publications

(8 citation statements)

References 17 publications

(15 reference statements)

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“…The students are the main ones, as shown in Figure 5b, and the basic teaching process is: communication-understanding-consolidation-application-communication. If the students are more active and the classroom environment is better divided, this method can improve the efficiency of the class [13].…”

Section: Whole-class Activity Methodsmentioning

confidence: 99%

Retracted: Investigating the interactive audio‐visual course mode for college English using virtual reality and artificial intelligence

2023

IET Software

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It is a way to improve students' reading skills and improve their reading efficiency to use strategies in college English audio-visual teaching to guide students to read on the basis of reading materials, stimulate the background knowledge in their minds and combine various schemata in their minds. This study firstly summarised the research on interactive teaching at home and abroad, and outlined the necessity and function of implementing interactive teaching in college English audio-visual. At the same time, the role of teachers and students in the interactive teaching process was analysed. Then an experimental study was carried out by taking college English audio-visual teaching materials as an example to discuss the specific methods of interactive teaching. After the experiment, a statistical analysis was made on the students' scores and questionnaires, and the following conclusions were drawn: Implementing interactive teaching improved students' performance and changed their study skills to a certain extent. Finally, through the analysis of the experimental conclusions, the impact of interactive teaching on students' performance and study habits was clarified. Finally, it was concluded that the interactive learning method could improve the students' learning efficiency by 25%.

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Section: Whole-class Activity Methodsmentioning

confidence: 99%

Retracted: Investigating the interactive audio‐visual course mode for college English using virtual reality and artificial intelligence

2023

IET Software

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“… 36 A similar approach with valuable clinical experiences is reported by Carlson and colleagues with a collaboration between infectious disease clinicians and orthopaedic arthroplasty surgeons to optimize PJI treatment. 37 Recently, also raising numbers of psychological comorbidities over the years have been shown for PJI patients, whereby the authors concluded that interdisciplinary collaboration is warranted and a psychologists should be included in the management. 11 In light of the presented findings, routine geriatric screening assessment should be considered.…”

Section: Discussionmentioning

confidence: 99%

The Definition of the Term “Orthogeriatric Infection” for Periprosthetic Joint Infections

Walter

Rupp

Bärtl

et al. 2022

Geriatr Orthop Surg Rehabil

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Introduction In the background of the aging population, an increase of geriatric patients with specific age-related co-morbidities has already been seen over the years for proximal femur fractures in orthopaedic surgery as well as other medical disciplines. However, the geriatric aspect has not been well recognized in periprosthetic joint infection (PJI) patients so far. Therefore, this paper seeks to provide an overview on the co-morbidities of PJI patients with respect to the definition of geriatric patients. Material and methods In this single-center retrospective study, patients treated between 2007 and 2020 for PJI were included (n = 255). Patients were defined as geriatric according to the consensus definition criteria of the Federal Working Group of Clinical Geriatric Facilities e.V., the German Society for Geriatrics e.V. and the German Society for Gerontology and Geriatrics e.V. based on age (≤70 years), geriatric multimorbidity and the Barthel index (≤30). Results Applying the criteria defined 184 of the 255 (72.2%) PJI patients as geriatric infection patients. Regarding geriatric comorbidity, incontinence was most prevalent (38.1%), followed by immobility (25.6%). Comparing the geriatric infection patients with those classified as non-geriatric (n = 71) revealed that geriatric patients had a longer hospital stay and spent more days in the intensive care unit (ICU). Also, the amputation rate and the 5-year mortality rate was significantly increased (n = 15, 8.2% vs n = 1, 1.4%, P = .007 and n = 24, 13.0% vs n = 5, 7.0%, P = .005). The Barthel index showed a significant correlation with mortality ( r = −.22, P = .011). Discussion We propose to use the term orthogeriatric infection patients in those cases in order to focus treatment not only on the orthopaedic infections but also on the important geriatric aspects. Conclusion The inclusion of geriatric physicians into the multidisciplinary team approach for PJI patients might be beneficial.

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“…There is a lack of prospective randomized studies in the area, as logistics and ethical approval presents difficulties, however their benefit is apparent in the few retrospective studies that have been published. 12 , 15 , 32 , 33 The majority of these studies focus on the benefit of the MDT in the treatment of infected hip arthroplasties with a two-stage revision, 12 , 15 and there remains limited available evidence with regards to the role of the MDT in the treatment of knee PJI, or with regards to hips undergoing a single-stage revision for infection.…”

Section: Discussionmentioning

confidence: 99%

Improving outcomes in acute and chronic periprosthetic hip and knee joint infection with a multidisciplinary approach

et al. 2021

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Aims Periprosthetic hip and knee infection remains one of the most severe complications following arthroplasty, with an incidence between 0.5% to 1%. This study compares the outcomes of revision surgery for periprosthetic joint infection (PJI) following hip and knee arthroplasty prior to and after implementation of a specialist PJI multidisciplinary team (MDT). Methods Data was retrospectively analyzed from a single centre. In all, 29 consecutive joints prior to the implementation of an infection MDT in November 2016 were compared with 29 consecutive joints subsequent to the MDT conception. All individuals who underwent a debridement antibiotics and implant retention (DAIR) procedure, a one-stage revision, or a two-stage revision for an acute or chronic PJI in this time period were included. The definition of successfully treated PJI was based on the Delphi international multidisciplinary consensus. Results There were no statistically significant differences in patient demographics or comorbidities between the groups. There was also no significant difference in length of overall hospital stay (p = 0.530). The time taken for formal microbiology advice was significantly shorter in the post MDT group (p = 0.0001). There was a significant difference in failure rates between the two groups (p = 0.001), with 12 individuals (41.38%) pre-MDT requiring further revision surgery compared with one individual (6.67%) post-MDT inception. Conclusion Our standardized multidisciplinary approach for periprosthetic knee and hip joint infection shows a significant reduction in failure rates following revision surgery. Following implementation of our MDT, our success rate in treating PJI is 96.55%, higher than what current literature suggests. We advocate the role of a specialist infection MDT in the management of patients with a PJI to allow an individualized patient-centred approach and care plan, thereby reducing postoperative complications and failure rates. Cite this article: Bone Jt Open 2021;2(7):509–514.

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Clinical Experience With a Coordinated Multidisciplinary Approach to Treating Prosthetic Joint Infection

Cited by 12 publications

References 17 publications

Retracted: Investigating the interactive audio‐visual course mode for college English using virtual reality and artificial intelligence

Retracted: Investigating the interactive audio‐visual course mode for college English using virtual reality and artificial intelligence

The Definition of the Term “Orthogeriatric Infection” for Periprosthetic Joint Infections

Improving outcomes in acute and chronic periprosthetic hip and knee joint infection with a multidisciplinary approach

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