The isolation of bacteria of low pathogenicity from faulty orthopaedic implants

Whyte, W.; Hodgson, R.; Tinkler, J.; Graham, James A.

doi:10.1016/0195-6701(81)90041-4

Cited by 23 publications

(7 citation statements)

References 18 publications

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“…The incidence of Gram-positive, Gram-negative and anaerobe microorganisms isolated from patients with joint sepsis was well within the range of other studies [3,4,18,12,29], although we isolated relatively few S. epidermidis and anaerobes. The sensitivity of Enterobacter strains has been known to vary, but those isolated from three patients with joint sepsis were susceptible to cefuroxime.…”

Section: Joint Sepsis and Wound Infectionsupporting

confidence: 87%

The relation between wound and urine cultures and joint sepsis after hip and knee arthroplasty

Wymenga¹,

Muytjens²,

Horn

et al. 1993

Orthop Traumatol

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R~surn~. Les auteurs ont analysdIa relation entre les prdlkvements de plaie et cultures d'urine et les infections articulaires ultdrieures dans une dtude prospective portant sur 2 651 prothkses de hanche et 362 prothkses de genou. Tousles patients ont bdndficid d'une antibioprophylaxie per opdratoire au cefuroxime. Dans 26 cas d'infection articulaire l'agent causal a dtd identirid: 42 % de St. aureus, 12 % de St. epidermidis, 24 % de germes Gram ndgatifs et 4 % de bactdries anadrobies. Le Cefuroxime couvrait correctement tousles spectres. L'infection arti-cuIaire dtait prdcddde de 12 infections de plaie opdratoire sur 26 patients. Aucune relation n'a pu ~tre retenue avec les 4,2 % de cultures positives des prdlkvements per-opdratoires. Par contre, il existe une relation nette entre les arthrites post-opdratoires et les prdlkvements post-op6ratoires positifs au niveau des plaies opdratoires, sauf en ce qui concerne le St. epidermidis. Les cultures positives de drains n'ont pas permis de prddire l'infection articulaire. Dans ces conditions, les prdlkvements per-opdratoires et la mise en culture de drains ne semblent pas indiquds Code M6ary : 4247.0 ; 4575.3 Genou --Infection sur prothkse --Infection urinaireAbstract. The relation between wound and urine cultures and joint sepsis was analysed in a prospective study with 2651 hip and 362 knee replacements. All patients received peroperative cefuroxime. In 26 patients with joint sepsis, S.aureus (42%), S.epidermidis (12%), Gram-negative bacteria (24%) and anaerobic bacteria (4%) were identi-

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Section: Joint Sepsis and Wound Infectionsupporting

confidence: 87%

The relation between wound and urine cultures and joint sepsis after hip and knee arthroplasty

Wymenga¹,

Muytjens²,

Horn

et al. 1993

Orthop Traumatol

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“…bone in osteomyelitis) often provides the only definitive information on the etiology of the infection [l]. Microbiological analysis is crucial in revision operations for loosening of a prosthetic joint, for differentiation of mechanical loosening from infection [2,3].…”

Section: Ntro Du Cti 0 Nmentioning

confidence: 99%

“…The department of orthopedic surgery had developed a protocol for handling material from loose prostheses according to the relevant literature [2,11]. The protocol included the following procedures.…”

Section: Data Sources Proceduresmentioning

confidence: 99%

An audit of microbiology laboratory utilization: the diagnosis of infection in orthopedic surgery

Gyssens¹,

Smits-Caris

Stolk-Engelaar

et al. 1997

Clinical Microbiology and Infection

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OBJECTIVE: To analyse the quality of ordering, collection and transport of specimens for microbiological analysis by a department of orthopedic surgery. METHODS: The analysis consisted of a prospective formal evaluation performed by two consultant microbiologists. RESULTS: One hundred and seventeen consecutive requests were audited. These requests belonged to 55 clinical episodes, 39 of which were of (presumed) infection and 16 of surveillance. The main sites sampled were: joint 28 (51%), and extra-articular bone or tissue 6 (11%). Of 98 surgical specimens, 20 (20%) yielded a relevant microorganism. The requests were classified as definitely appropriate in 67% and 85% of episodes, by the two consultants respectively. No request was considered unjustified. Collection, handling and transport were categorized as definitely appropriate in 56% and 73% of requests. Analysis of compliance with an existing protocol for prosthetic joint revision revealed similar errors. CONCLUSION: Audits of this type can give invaluable information about the area of uncertainty between the clinician and the laboratory and can identify appropriate measures for corrective action.

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“…15 These skin particles measuring 10-25 μm and roughly 1 μm thick [2] especially have a lot of staphylococci many people are carriers of. 16,17,18,19 This group of microorganisms is responsible for post-operative wound infections especially in implantation surgery. 15 We didn't find other research related to contamination of sterile instruments during the laying-up process with different air systems or the air quality provided by different systems during this process to compare our study with.…”

mentioning

confidence: 99%

Laying-up of sterile instruments in the operating theatre: equal or superior protection by using a horizontal unidirectional air flow system

Traversari¹,

Goedhart²,

Dusseldorp³

et al. 2013

Journal of Hospital Infection

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SummaryBackground: A system for the preparation of sterilized instruments with unidirectional horizontal air flow (UDHF) has several advantages over a unidirectional down-flow system (UDDF). The advantages are based on the installation of the system being more flexible and easier to use, no cooling of the air flow being necessary and less air being needed for circulation, resulting in reduced energy use.

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The isolation of bacteria of low pathogenicity from faulty orthopaedic implants

Cited by 23 publications

References 18 publications

The relation between wound and urine cultures and joint sepsis after hip and knee arthroplasty

The relation between wound and urine cultures and joint sepsis after hip and knee arthroplasty

An audit of microbiology laboratory utilization: the diagnosis of infection in orthopedic surgery

Laying-up of sterile instruments in the operating theatre: equal or superior protection by using a horizontal unidirectional air flow system

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