D�veloppement bact�rien sur pointes de drains de Redon apr�s arthroplastie totale de hanche. Une m�thode de culture r�gl�e

Abstract

Bacterial growth in relation to suction drains and suction drain tubes following total hip replacements was studied in 105 consecutive patients. All the patients were operated on in a Charnley Howorth Mark II sterile enclosure without walls, but with a body exhaust system and routine antimicrobial prophylaxis. Specimens for culture were taken from the suction drain tip, from inside the suction tube and the incision site. Positive cultures were found in a7 patients; in 20 of them from either the drain tip or the drain track. In 15 patients, the culture revealed coa-gulase-negative staphylococci; in 12 of them from the drain tip or the drain track. Eight patients had a positive culture from the tip of the drain and 16 from the drain track. Four patients had signs of wound hematoma and serous discharge. No patient developed signs of deep infection during the first 12 months after surgery. This study confirms that coagulase-negative staphylococci are the most common single species obtained from cultures after total hip replacement. Routine antimicrobial prophylaxis against coagulase-negative staphylococci might be considered.

Are systematic drain tip or drainage fluid cultures predictive of surgical site infections?

“…The flow-chart is presented in Figure 1. Seventeen studies were selected (Tables I and II) [5,7,8,[17][18][19][20][21][22][23][24][25][26][27][28][29][30].…”

“…The Newcastle-Ottawa scale was preferred to the QUADAS-2 [33] scale usually used for the assessment of diagnostic accuracy studies as the Newcastle-Ottawa scale allowed us to evaluate more items. Only the evaluation of the presence of SSI without knowledge of the culture was not assessed, but this information was never mentioned in selected studies [5,7,8,[17][18][19][20][21][22][23][24][25][26][27][28][29][30].…”

Is It Safe to Perform Revision Hip Arthroplasty Without Suction Drains?

“…Although the infection rate in joint replacement has significantly decreased over the years from approximately 3%-4% to 0.3% [ 15 ] due to various measures, it remains a dreaded complication. Studies have suggested that drainage systems may provide access for retrograde migration of infection [ 16 ].…”

“…Gunterberg et al. [ 15 ] showed that cultures from drain tips and drain tracks were frequently positive. Raves et al.…”

“…Studies have suggested that drainage systems may provide access for retrograde migration of infection [16]. Gunterberg et al [15] showed that cultures from drain tips and drain tracks were frequently positive. Raves et al [17] showed that retrograde migration of bacteria may occur in 20% of patients with CSD by 72 hours.…”