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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2025, Number 5

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Acta Ortop Mex 2025; 39 (5)

Staphylococcus aureus carriers in hip and knee arthroplasty. Effectiveness of decolonization and prevention of periprosthetic infections

Martínez W, Camacho-Terceros L, Garbini F, Bochatey E, Lopreite F

Language: Spanish
References: 22
Page: 299-304
PDF size: 270.07 Kb.


ABSTRACT

Introduction: the impact of preoperative screening and the effectiveness of targeted decolonization in carriers of Staphylococcus aureus (SA) on the prevalence of acute periprosthetic infections (PJI) in patients undergoing hip and knee arthroplasty was evaluated. Material and methods: analytical, observational, case-control, ambispective and consecutive study. 256 patients were included for hip and knee prosthetic surgery between January 2020 and December 2022. Those who underwent surgery in the period prior to the pre-surgical search for S. Aureus were called pre-intervention group (G1) between January 2020 and June of 2021, and those intervened in the search and decolonization called intervention group (G2) between July 2021 to December 2022. In G2, SA carriage and the effectiveness of bacterial decolonization were evaluated. The prevalence of periprosthetic infection due to this germ in both groups was also compared. Results: the prevalence of nasal and inguinal colonization for MSSA was 25.8% and that of MRSA was 2.3%. Preoperative decolonization therapy in SA carriers was associated with a reduction in the rate of periprosthetic infections. Conclusions: the incidence Staphylococcus aureus carriers in patients scheduled for hip and knee arthroplasty was high. Preoperative detection of S. aureus with targeted decolonization therapy was associated with a reduction in periprosthetic infections mediated.


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EVIDENCE LEVEL

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