Source:http://linkedlifedata.com/resource/pubmed/id/16799001
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
2006-6-26
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pubmed:abstractText |
The Control of Infection Committee at a specialist orthopaedic hospital prospectively collected data on all episodes of bacteriologically-proven deep infection arising after primary hip and knee replacements over a 15-year period from 1987 to 2001. There were 10 735 patients who underwent primary hip or knee replacement. In 34 of 5947 hip replacements (0.57%) and 41 of 4788 knee replacements (0.86%) a deep infection developed. The most common infecting micro-organism was coagulase-negative staphylococcus, followed by Staphylococcus aureus, enterococci and streptococci. Of the infecting organisms, 72% were sensitive to routine prophylactic antimicrobial agents. Of the infections, 29% (22) arose in the first three months following surgery, 35% between three months and one year (26), and 36% (27) after one year. Most cases were detected early and treated aggressively, with eradication of the infection in 96% (72). There was no significant change in the infection rate or type of infecting micro-organism over the course of this study. These results set a benchmark, and importantly emphasise that only 64% of peri-prosthetic infections arise within one year of surgery. These results also illustrate the advantages of conducting joint replacement surgery in the isolation of a specialist hospital.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0301-620X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
88
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
943-8
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pubmed:dateRevised |
2010-11-10
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pubmed:meshHeading |
pubmed-meshheading:16799001-Aged,
pubmed-meshheading:16799001-Aged, 80 and over,
pubmed-meshheading:16799001-Anti-Infective Agents,
pubmed-meshheading:16799001-Arthroplasty, Replacement,
pubmed-meshheading:16799001-Arthroplasty, Replacement, Hip,
pubmed-meshheading:16799001-Arthroplasty, Replacement, Knee,
pubmed-meshheading:16799001-Debridement,
pubmed-meshheading:16799001-Female,
pubmed-meshheading:16799001-Hip Joint,
pubmed-meshheading:16799001-Humans,
pubmed-meshheading:16799001-Incidence,
pubmed-meshheading:16799001-Knee Joint,
pubmed-meshheading:16799001-Male,
pubmed-meshheading:16799001-Middle Aged,
pubmed-meshheading:16799001-Postoperative Complications,
pubmed-meshheading:16799001-Prospective Studies,
pubmed-meshheading:16799001-Prosthesis-Related Infections,
pubmed-meshheading:16799001-Staphylococcal Infections,
pubmed-meshheading:16799001-Staphylococcus aureus
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pubmed:year |
2006
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pubmed:articleTitle |
The incidence of deep prosthetic infections in a specialist orthopaedic hospital: a 15-year prospective survey.
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pubmed:affiliation |
Royal Orthopaedic Hospital, Bristol Road South, Northfield, Birmingham B31 2AP, UK.
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pubmed:publicationType |
Journal Article
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