金黄色葡萄球菌与脓毒性膝关节炎的再手术需求相关。

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Lucas Saade Fernandes, Alexandre Joji Yagi, Alfredo Dos Santos Netto, Mauro José Salles, Victor Marques DE Oliveira, Ricardo DE Paula Leite Cury
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引用次数: 0

摘要

目的:确定诊断为脓毒性膝关节炎的成人患者的再手术频率、控制感染所需的平均清创次数、死亡率,并评估与再手术需求和死亡率相关的因素。方法:回顾性队列研究评估38例诊断为脓毒性关节炎的成年患者,经髌旁内侧入路行关节切开术进行关节清洁和清创。通过查阅病历分析病例的人口统计学、临床、外科和微生物学变量。进行两比例相等检验、卡方检验和多变量logistic回归分析,定义显著性水平为0.05,置信区间为95%。结果:50%的病例再次手术,平均清创次数2.02次,死亡率10.5%。金黄色葡萄球菌感染的患者比其他药物培养阳性的患者更有可能需要再次手术(OR 6.0)。结论:50%的病例平均需要2.02次清创,死亡率为10.5%。金黄色葡萄球菌感染与额外手术的几率增加6倍有关。/证据水平IV,案例系列。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

S. AUREUS IS ASSOCIATED WITH A GREATER NEED FOR REOPERATION IN SEPTIC ARTHRITIS OF THE KNEE.

S. AUREUS IS ASSOCIATED WITH A GREATER NEED FOR REOPERATION IN SEPTIC ARTHRITIS OF THE KNEE.

Objective: To determine the frequency of reoperations in the treatment of adult patients diagnosed with septic arthritis of the knee, the average number of debridements needed to control the infection, the mortality rate, and to assess factors associated with a greater need for reoperation and mortality.

Methods: Retrospective cohort study evaluating 38 adult patients diagnosed with septic arthritis who underwent arthrotomy via a medial parapatellar approach for joint cleaning and debridement. Demographic, clinical, surgical, and microbiological variables of the cases were analyzed by review of medical records. Tests for equality of two proportions, chi-square, and multivariate logistic regression analysis were performed, defining a significance level at 0.05, with 95% confidence interval.

Results: A total of 50% of the cases underwent reoperation, with an average number of required debridement of 2.02 and a mortality rate of 10.5%. Patients with infection caused by Staphylococcus aureus were more likely to need a reoperation compared to patients with positive cultures for other agents (OR 6.0).

Conclusion: In 50% of cases, an average of 2.02 debridements were necessary and the mortality rate was 10.5%. Staphylococcus aureus infection is associated with a 6 times greater chance of additional surgeries. / Level of Evidence IV, Case Series.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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