Total joint replacement in HIV positive patients

Habermann, B.; Eberhardt, Christian; Kurth, Andreas

doi:10.1016/j.jinf.2008.01.045

Cited by 56 publications

(46 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The literature on preoperative conditions and late infection is abundant. Some of the demonstrated risk factors with which our data agree include previous surgery [5,35], chronic liver disease [9], intravenous drug abuse [16,34], or chronic corticoid therapy [46]. Nonrheumatoid inflammatory arthritis [5] or thalassemia [45] are not considered major risk factors.…”

Section: Discussionmentioning

confidence: 52%

“…Moreover, several of those studies are not primarily focused on infection, although they contain information on infected patients [11,13,17,18,24,36,40,45,46]. Finally, the level of evidence in many of them is low; we have found seven case series (Level of Evidence IV) [3,6,13,16,17,21,40,46] and many nonsystematic reviews (Level of Evidence V) [1,18,23,25,28,34,38,45] and expert opinions (Level of Evidence V) [2,4,30]. We believe it important to learn and identify these risk factors in the individual patient for to check for and minimize risk factors or, when not possible to consider specific prophylactic measures.…”

Section: Introductionmentioning

confidence: 96%

“…A higher risk of infection for THAs is described in posttraumatic osteoarthritis [3,25,33], whereas influence of gender and age is still debated [19,33]. Previous surgery, chronic liver disease, corticoid therapy, and intravenous drug abuse reportedly increase the risk [5,9,16,34,35,46], whereas nonrheumatoid inflammatory arthritis or thalassemia do not [5,45,46]. The data on whether diabetes, obesity, rheumatoid arthritis, or immunosuppressants increase the risk of infection are contradictory [6,13,17,20,24,28,33,35,37,40].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

What Are the Risk Factors for Infection in Hemiarthroplasties and Total Hip Arthroplasties?

Cordero‐Ampuero

Dios

2010

Clinical Orthopaedics &Amp; Related Research

161

103

View full text Add to dashboard Cite

Background Late infection is the second most frequent early complication after total hip arthroplasty (THA) and the most frequent after hemiarthroplasty. Known risk factors for infection after THA include posttraumatic osteoarthritis, previous surgery, chronic liver disease, corticoid therapy, and excessive surgical time. However, risk factors for hemiarthroplasty are not clearly established. Questions/purposes We therefore determined the preoperative and intraoperative risk factors for late infection (more than 3 months after surgery) in patients with hemiarthroplasties and THAs. Methods We retrospectively compared 47 patients with a hip arthroplasty (23 hemiarthroplasties, 24 total hip arthroplasties) and late infection with 200 randomlyselected patients with primary arthroplasty (100 hemiarthroplasties, 100 total hip arthroplasties) during the same time period of time without any infection during followup. Potential risk factors were identified from medical records. Minimum followup was 12 months (mean, 27 months; range, 12-112 months) for the study group and 18 months (mean, 84 months; range, 18-144 months) for the control group. Results The following factors were more frequent in late infected hemiarthroplasties: female gender; previous surgery; obesity (body mass index greater than 30 kg/m 2 ); glucocorticoid and immunosuppressant treatments; prolonged surgical time; inadequate antibiotic prophylaxis; prolonged wound drainage; hematoma; dislocation; and cutaneous, urinary, and/or abdominal infections. The following were more frequent in infected total hip arthroplasties: posttraumatic osteoarthritis; previous surgery; glucocorticoids; chronic liver disease; alcohol and intravenous drug abuse; prolonged surgical time; prolonged wound drainage; dislocation; subsequent surgery; and cutaneous, urinary, respiratory and abdominal infections. Diabetes did not appear to be a risk factor. Conclusions Our data suggest there are specific risk factors for infection in hemiarthroplasties.

show abstract

Section: Discussionmentioning

confidence: 52%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

What Are the Risk Factors for Infection in Hemiarthroplasties and Total Hip Arthroplasties?

Cordero‐Ampuero

Dios

2010

Clinical Orthopaedics &Amp; Related Research

161

103

View full text Add to dashboard Cite

show abstract

“…However, a recent study found that complication rates were a modest 13% among 55 patients with HIV undergoing total hip, knee, or shoulder arthroplasties at a minimum followup of 2 years (mean, 6 years; range, 2-14 years) [7]. Previous studies of periprosthetic infection after THA have observed higher infection rates in patients with HIV (4%-7%) compared with patients without HIV (1%-2%) [11,12].…”

Section: Introductionmentioning

confidence: 99%

Does HIV Infection Increase the Risk of Perioperative Complications After THA? A Nationwide Database Study

Naziri

Boylan

Issa

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…Haberman et al noted an infection rate of 12.7% in their cohort of 41 patients with HIV undergoing TJA, but did not identify any difference in the outcomes relating to CD4 count (11).…”

Section: Resultsmentioning

confidence: 88%

Antibiotic Prophylaxis in Periprosthetic Joint Infection (PJI): literature Review and World Consensus (Part Seven)

Parvızı

Ghazavi

2016

Shafa Ortho J

View full text Add to dashboard Cite

Context: There is a need to find if patients with poorly controlled diabetes, immunosuppression, or autoimmune disease require different perioperative antibiotic prophylaxis. There is also a need to determine if antibiotic prophylaxis should be different for primary cases, revision cases, hip arthroplasty and knee arthroplasty. The best antibiotic prophylaxis to choose in patients with colonization by carbapenem resistant enterobacteriaceae or multi-drug resistant (MDR)-Acinetobacter spp needs to be determined. Evidence Acquisition: Delegates in workgroup 3 of the consensus meeting on PJI reviewed English literature for relevant articles. 30 of 221 articles were relevant to the 4 following questions regarding perioperative antibiotic prophylaxis to prevent PJI. Results: There is no need to use different antibiotic prophylaxis for patients with poorly controlled diabetes, immunosuppression, or autoimmune disease than routine antibiotic prophylaxis. Perioperative antibiotic prophylaxis should be the same for primary and uninfected revision arthroplasty. Perioperative antibiotic prophylaxis should be the same for hips and knees arthroplasties. There is insufficient data to recommend expanded antibiotic prophylaxis in patients known to be colonized or recently infected with multi-drug resistant pathogens. Conclusions: Based on evidences in the literature and consensus of expert delegates from consensus meeting recommendations for type of antibiotic prophylaxis in patients with poorly controlled diabetes, immunosuppression, or autoimmune disease, primary and uninfected revision arthroplasty, hip or knee arthroplasties and patients known to be colonized or recently infected with multidrug resistant pathogens were provided.

show abstract

Total joint replacement in HIV positive patients

Cited by 56 publications

References 33 publications

What Are the Risk Factors for Infection in Hemiarthroplasties and Total Hip Arthroplasties?

What Are the Risk Factors for Infection in Hemiarthroplasties and Total Hip Arthroplasties?

Does HIV Infection Increase the Risk of Perioperative Complications After THA? A Nationwide Database Study

Antibiotic Prophylaxis in Periprosthetic Joint Infection (PJI): literature Review and World Consensus (Part Seven)

Contact Info

Product

Resources

About