Genitourinary Procedures as Risk Factors for Prosthetic Hip or Knee Infection: A Hospital-Based Prospective Case-Control Study

Gupta, Arjun; Osmon, Douglas R.; Hanssen, Arlen D.; Lightner, Deborah J.; Wilson, Walter R.; Steckelberg, James M.; Baddour, Larry M.; Harmsen, William S.; Mandrekar, Jay; Berbari, Elie F.

doi:10.1093/ofid/ofv097

Cited by 12 publications

(4 citation statements)

References 25 publications

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“…The publication year of the 24 studies ranged from 1998 to 2016. According to the NOS score, 9 studies scored 8 , 11 studies scored 7 and 4 studies scored 6 . All studies were of high quality.…”

Section: Resultsmentioning

confidence: 99%

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Risk factors for periprosthetic joint infection following primary total hip or knee arthroplasty: a meta‐analysis

Kong

Cao

Zhang

et al. 2016

International Wound Journal

179

139

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To identify risk factors for periprosthetic joint infection following primary total joint arthroplasty, a systematic search was performed in Pubmed, Embase and Cochrane library databases. Pooled odds ratios (ORs) or standardised mean differences (SMDs) with 95% confidence intervals (CIs) were calculated. Patient characteristics, surgical-related factors and comorbidities, as potential risk factors, were investigated. The main factors associated with infection after total joint arthroplasty (TJA) were male gender (OR, 1·48; 95% CI, 1.19-1.85), age (SMD, -0·10; 95% CI, -0.17--0.03), obesity (OR, 1·54; 95% CI, 1·25-1·90), alcohol abuse (OR, 1·88; 95% CI, 1·32-2·68), American Society of Anesthesiologists (ASA) scale > 2 (OR, 2·06; 95% CI, 1·77-2·39), operative time (SMD, 0·49; 95% CI, 0·19-0·78), drain usage (OR, 0·36; 95% CI, 0·18-0·74), diabetes mellitus (OR, 1·58; 95% CI, 1·37-1·81), urinary tract infection (OR, 1·53; 95% CI, 1.09-2.16) and rheumatoid arthritis (OR, 1·57; 95% CI, 1·30-1·88). Among these risk factors, ASA score > 2 was a high risk factor, and drain usage was a protective factor. There was positive evidence for some factors that could be used to prevent the onset of infection after TJA.

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Section: Resultsmentioning

confidence: 99%

“…After full text review, 12 articles were excluded. Finally, 24 unique studies were included in the meta‐analysis .…”

Section: Resultsmentioning

confidence: 99%

Risk factors for periprosthetic joint infection following primary total hip or knee arthroplasty: a meta‐analysis

Kong

Cao

Zhang

et al. 2016

International Wound Journal

179

139

View full text Add to dashboard Cite

show abstract

“…• AP around dental procedures (conflicting guideline recommendations) [121][122][123][124] • AP around urologic procedures [125,126] AP against meningococcal disease in patients receiving C5 inhibitors…”

Section: Ap Around Medical Interventions In Patients With Prosthetic Jointsmentioning

confidence: 99%

Indications for medical antibiotic prophylaxis and potential targets for antimicrobial stewardship intervention: a narrative review

Ιωάννου

Karakonstantis

Schouten

et al. 2022

Clinical Microbiology and Infection

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Total eklem protezi olan hastalarda, genito-üriner bölgeye uygulanan sistoskopi işlemleri esnasında, genellikle işlem esnasında proflaktik antibiyotik kullanımı önerilmez. [26] Ancak, sistoskopi dışında, genitoüriner bölgeye yönelik litotripsi gibi girişimlerde, bu bölgenin florasına ve özellikle gram negatif mikroorganizmalara yönelik etki spektrumu olan 500 mg oral ya da 400 mg iv siprofloksasinin, işlemden bir saat önce başlanarak 24 saat süre ile verilmesi yönünde görüş vardır. [4,12,22,27,28] Total eklem protezi uygulanmış bir hastada sonradan uygulanacak herhangi bir girişimsel işleme bağlı bakteriyemi ve geç hematojen protez enfeksiyonu riski ve bundan korunmak için alınacak tedbirler ve uygulanacak antimikrobiyal profilaksinin içeriği, dozu ve uygulama süresi, girişimi yapacak olan hekimin, ortopedik cerrahın ve intaniye uzmanının ortak kararı ile belirlenmelidir.…”

Section: Geni̇to-üri̇ner Bölgeunclassified

Geç hematojen periprostetik enfeksiyonların önlenmesi

Özkurt¹,

Numune²

2016

TOTBID

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Geç hematojen protez enfeksiyonu; ilk artroplasti girişiminden belli bir süre sonra ortaya çıkan protez enfeksiyonu olarak tanımlanabilir. Geç hematojen protez enfeksiyonu diyebilmek için, başlangıçta başarılı, enfeksiyona ait klinik ya da radyolojik hiçbir bulgusu olmayan bir dönemi olan, protez uygulaması olmalıdır.Bu yazının amacı, artroplasti sonrası geç hematojen enfeksiyonlara eğilim yaratan durumları, riskli hasta grubunu ve enfeksiyonu önlemek için proflaktik antibiyotik kullanımını ortaya koymaktır.

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Genitourinary Procedures as Risk Factors for Prosthetic Hip or Knee Infection: A Hospital-Based Prospective Case-Control Study

Cited by 12 publications

References 25 publications

Risk factors for periprosthetic joint infection following primary total hip or knee arthroplasty: a meta‐analysis

Risk factors for periprosthetic joint infection following primary total hip or knee arthroplasty: a meta‐analysis

Indications for medical antibiotic prophylaxis and potential targets for antimicrobial stewardship intervention: a narrative review

Geç hematojen periprostetik enfeksiyonların önlenmesi

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