Eczema Is Not Associated with an Increased Risk of Postoperative Infection Following Arthroscopic Knee Surgeries: A Retrospective Matched Case-Control Study.

IF 1.6 4区 医学 Q3 ORTHOPEDICS
Olivia C Tracey, Ruth H Jones, Akshitha Adhiyaman, Emilie Lijesen, Daniel W Green, Moira M McCarthy, Andy O Miller, Peter D Fabricant
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引用次数: 0

Abstract

Background: Prior studies have suggested a possible association between eczema and postoperative surgical site infections (SSI) following anterior cruciate ligament reconstruction (ACL-R), presumably due to higher rates of staphylococcal colonization in patients with eczema. Purpose:We sought to determine if patients with a history of eczema are at an increased risk for postoperative SSI following ACL-R, medial patellofemoral ligament reconstruction (MPFL-R), and/or knee arthroscopy. Methods:We conducted a retrospective matched case-control study of patients aged 5 to 25 years who underwent ACL-R, MPFL-R, and/or knee arthroscopy from February 1, 2016 to February 8, 2023 at a single tertiary care facility. Cases of postoperative infection were identified as those requiring surgical irrigation and debridement (I&D) and/or postoperative oral antibiotics or had a documented visit for postoperative infection with an infectious disease specialist within 6 months of the indexed procedure. Cases and controls were matched 1:2 based on sex, age ±1 year, body mass index ±1 kg/m2, and primary Current Procedural Terminology code. Preoperative diagnosis of eczema and postoperative diagnosis of infection were compared between cases and controls. Results:Three hundred patients were analyzed (mean age 18.2 ± 3.8 years); 4% of both cases and controls had a history of eczema. Patients with postoperative SSI did not have greater odds of having an eczema diagnosis preoperatively compared to matched controls. Overall, 32% of cases required an I&D procedure; these patients did not have greater odds of having an eczema diagnosis preoperatively compared to matched controls. Conclusion:This retrospective matched case-control study suggests that a prior or current diagnosis of eczema is not associated with SSI following ACL-R, MPFL-R, or knee arthroscopy in patients aged 5 to 25 years. Level of Evidence: Level III: Case-Control Study.

关节镜下膝关节手术后湿疹与术后感染风险增加无关:一项回顾性匹配病例对照研究
背景:先前的研究表明,湿疹与前交叉韧带重建(ACL-R)术后手术部位感染(SSI)之间可能存在关联,可能是由于湿疹患者的葡萄球菌定植率较高。目的:我们试图确定有湿疹史的患者在ACL-R、内侧髌股韧带重建(MPFL-R)和/或膝关节镜手术后SSI的风险是否增加。方法:我们对2016年2月1日至2023年2月8日在一家三级医疗机构接受ACL-R、MPFL-R和/或膝关节镜检查的5至25岁患者进行了回顾性匹配病例对照研究。术后感染病例被确定为需要手术冲洗和清创(I&D)和/或术后口服抗生素的患者,或在指定手术后6个月内与传染病专家进行了术后感染的记录。根据性别、年龄±1岁、体重指数±1 kg/m2和主要现行程序术语代码,病例和对照组按1:2匹配。比较病例与对照组术前湿疹诊断及术后感染诊断情况。结果:共分析300例患者(平均年龄18.2±3.8岁);4%的病例和对照组有湿疹史。与对照组相比,术后SSI患者术前湿疹诊断的几率并不大。总体而言,32%的病例需要进行I&D程序;与对照组相比,这些患者术前湿疹诊断的几率并不大。结论:这项回顾性匹配的病例对照研究表明,5 - 25岁患者在ACL-R、MPFL-R或膝关节镜检查后,既往或当前诊断为湿疹与SSI无关。证据等级:III级:病例对照研究。
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来源期刊
Hss Journal
Hss Journal Medicine-Surgery
CiteScore
3.90
自引率
0.00%
发文量
42
期刊介绍: The HSS Journal is the Musculoskeletal Journal of Hospital for Special Surgery. The aim of the HSS Journal is to promote cutting edge research, clinical pathways, and state-of-the-art techniques that inform and facilitate the continuing education of the orthopaedic and musculoskeletal communities. HSS Journal publishes articles that offer contributions to the advancement of the knowledge of musculoskeletal diseases and encourages submission of manuscripts from all musculoskeletal disciplines.
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