Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
2006-6-26
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.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0301-620X
pubmed:author
pubmed:issnType
Print
pubmed:volume
88
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
943-8
pubmed:dateRevised
2010-11-10
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
pubmed:year
2006
pubmed:articleTitle
The incidence of deep prosthetic infections in a specialist orthopaedic hospital: a 15-year prospective survey.
pubmed:affiliation
Royal Orthopaedic Hospital, Bristol Road South, Northfield, Birmingham B31 2AP, UK.
pubmed:publicationType
Journal Article