Successful prophylactic measures for the eradication of Staphylococcus aureus infections in elective hip primary and revision arthroplasty.

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2024-08-08 DOI:10.1016/j.recot.2024.08.001

J C Perdomo-Lizarraga, A Combalia, J A Fernández-Valencia, A Alías, J Aponcio, L Morata, A Soriano, E Muñoz-Mahamud

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引用次数: 0

Abstract

Introduction: Staphylococcus aureus stands as the predominant etiological agent in postoperative acute prosthetic joint infections (PJI), contributing to 35-50% of reported cases. This study aimed to evaluate the efficacy of dual prophylaxis incorporating cefuroxime and teicoplanin, in combination with nasal decolonization utilizing 70% alcohol, and oral and body lavage with chlorhexidine.

Material and methods: We conducted a retrospective review of electronic health records regarding primary and revision arthroplasties conducted at our institution from 2020 to 2021. Relevant variables linked to prosthetic joint infections (PJI) were documented until the latest follow-up.

Results: A total of 539 operations (447 primary arthroplasties and 92 revision arthroplasties) were performed on 519 patients. There were 11 cases of postoperative acute PJI, resulting in infection rates of 1.6% for primary arthroplasties and 4.3% for revision surgeries. Infections were more prevalent in male patients, individuals with an ASA classification>II, and those undergoing longer operations (>90min). S. aureus was not isolated in any of the cases.

Conclusion: The prophylactic measures implemented in our institution have exhibited a high efficacy in preventing postoperative acute PJI caused by S. aureus.

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在择期髋关节初次和翻修关节置换术中根除金黄色葡萄球菌感染的成功预防措施。

导言：金黄色葡萄球菌是术后急性假体关节感染（PJI）的主要病原体，占报告病例的 35-50%。本研究旨在评估结合头孢呋辛和替考拉宁的双重预防性治疗，以及使用 70% 酒精进行鼻腔去菌和使用洗必泰进行口腔和全身灌洗的疗效：我们对本机构 2020 年至 2021 年进行的初次和翻修关节置换术的电子健康记录进行了回顾性审查。记录了与人工关节感染（PJI）相关的变量，直至最近一次随访：共有519名患者接受了539例手术（447例初次关节置换术和92例翻修关节置换术）。共有 11 例术后急性 PJI，初次关节置换术的感染率为 1.6%，翻修手术的感染率为 4.3%。感染多发于男性患者、ASA分级大于II级的患者以及手术时间较长（大于90分钟）的患者。所有病例均未分离到金黄色葡萄球菌：结论：我院实施的预防措施在预防金黄色葡萄球菌引起的术后急性 PJI 方面效果显著。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Espanola de Cirugia Ortopedica y Traumatologia Medicine-Surgery

CiteScore

1.10

自引率

0.00%

发文量

156

审稿时长

51 weeks

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