Comparison of SSI rates in endoarthroplasty of hip and knee in a Cracow patient population and the importance of postdischarge surveillance

Infection
J Wójkowska-MachP B Heczko

Abstract

The aim of the study was to analyse the epidemiological and microbiological analysis of surgical site infections in patients that underwent knee or hip endoarthroplasty procedures. The epidemiological and microbiological surveillance was carried out by the local infection control team in cooperation with the Department of Bacteriology, at the Chair of Microbiology, Jagiellonian University Medical College in Cracow. A total of 651 patients operated in the Department of Orthopedics, Trauma Surgery and Rehabilitation of Cracow Rehabilitation Center in Poland were analyzed. Twenty-three cases of SSI were detected. The cumulative incidence after hip prosthesis (HPRO) procedures was 2.3%, while for knee prosthesis (KPRO) it was 7.0. Standardized risk index, comparing the incidence in our study to German hospitals, shows a statistically significant, higher incidence in patients with knee replacement procedures in our study (p=0.004). Among etiological agents of SSIs, we demonstrated the dominating role of Gram-positive cocci to be 75% (30% methicillin resistant). This resistance was confirmed only in case of coagulasenegative staphylococci (no MRSA were cultured). Gramnegative rods were isolated with a frequency of 25%: 41.6% in SSI a...Continue Reading

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Citations

Sep 29, 2009·Acta chirurgica Iugoslavica·Ij Marković-DjenićM Bumbasirević
Apr 26, 2014·Orthopedics·Bennie LindequeMargaret Cruse
Oct 18, 2013·The Journal of Hospital Infection·L Grammatico-GuillonP Astagneau
Mar 30, 2010·American Journal of Infection Control·Elias Jose Oliveira von DolingerPaulo P Gontijo Filho
Nov 27, 2018·Antimicrobial Resistance and Infection Control·Jadwiga Wojkowska-MachTomasz Bochenek
May 7, 2020·International Journal of Environmental Research and Public Health·Róża SłowikJadwiga Wójkowska-Mach

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