Low rate of infection control in enterococcal periprosthetic joint infections.

Clinical Orthopaedics and Related Research
Mohammad R RasouliJavad Parvizi

Abstract

Enterococcal periprosthetic joint infections (PJIs) are rare after joint arthroplasty. These cases are usually reported in series of PJIs caused by other pathogens. Because few studies have focused only on enterococcal PJIs, management and control of infection of these cases have not yet been well defined. We asked (1) what is the proportion of enterococcal PJI in our institutes; and (2) what is the rate of infection control in these cases? We respectively identified 22 and 14 joints with monomicrobial and polymicrobial PJI, respectively, caused by enterococcus. The diagnosis of PJI was made based on the presence of sinus tract or two positive intraoperative cultures. PJI was also considered in the presence of one positive intraoperative culture and abnormal serology. We determined the proportion of enterococcal PJI and management and control of infection in these cases. Minimum followup was 1.5 years (mean, 3.2 years). The proportion of monomicrobial enterococcal PJI was 2.3% (22 of 955 cases of PJI). Mean number of surgeries was two (range, 1-4). Initial irrigation and débridement was performed in 10 joints and eight patients needed reoperation. Seven of the 16 joints were initially managed using two-stage exchange arthroplas...Continue Reading

References

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Citations

Aug 1, 2015·International Orthopaedics·Thomas IlchmannMartin Clauss
Mar 9, 2017·Acta Orthopaedica·Ellen GurenMarianne Westberg
Feb 27, 2017·Clinical Orthopaedics and Related Research·Per Hviid GundtoftSøren Overgaard
May 16, 2017·The Open Orthopaedics Journal·Alexander S McLawhornAmar S Ranawat
Jan 28, 2014·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Paul LichsteinHeinz Winkler
Jul 18, 2018·Journal of Bone and Joint Infection·Ricardo Sousa, Miguel Araújo Abreu
Feb 2, 2013·The International Journal of Artificial Organs·Erik N HansenJavad Parvizi
Dec 3, 2017·Diagnostic Microbiology and Infectious Disease·Katharina NeudorferRobin Patel

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