Acta Ortopédica Mexicana

Argüelles-Martínez O, Rivera-Villa AH, Miguel-Pérez A, Torres-González R, Pérez-Atanasio JM, Mata-Hernández A, De la Fuente-Zuno JC
Etiological agents more common in primary hip and knee joint replacement infections in older adults
Acta Ortop Mex 2016; 30 (3)

Language: Español
References: 10
Page: 116-118
PDF: 207.63 Kb.

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ABSTRACT

Background: The most common etiological agents in periprosthetic infections are Escherichia coli and Staphylococcus aureus. The frequency of these infections are found in knee replacement with 0.68 to 1.60% compared to the hip with 0.67 to 2.4%. Objective: To identify what are the most common etiologic agents in periprosthetic infections in elderly patients with primary hip and knee surgery. Material and methods: An observational study, transverse and retrospective case series was performed in a period from June 2011 to December 2014, patients over 60 years with a diagnosis of periprosthetic infection by two positive cultures with antibiograma. Results: 62 patients were evaluated 59.7% were infections of knee and hip 40.3%, 59% were infections by Escherichia coli and Staphylococcus aureus 22%. The best sensitivity reported antibiotic trimethoprim-sulfamethoxazole was 40.3%. The largest penicillin G resistance 32.2%. Conclusion: The most common causative agents were Escherichia coli and Staphylococcus aureus.


Key words: Periprosthetic infection, knee, hip, Escherichia coli.


REFERENCES

  1. Ghanem E, Ketonis C, Restrepo C, Joshi A, Barrack R, Parvizi J: Periprosthetic infection: where do we stand with regard to Gram stain? Acta Orthop. 2009; 80(1): 37-40.

  2. Tsukayama DT, Estrada R, Gustilo RB: Infection after total hip arthroplasty. A study of the treatment of one hundred and six infections. J Bone Joint Surg Am. 1996; 78(4): 512-23.

  3. Atkins BL, Athanasou N, Deeks JJ, Crook DW, Simpson H, Peto TE, et al: Prospective evaluation of criteria for microbiological diagnosis of prosthetic-joint infection at revision arthroplasty. The OSIRIS Collaborative Study Group. J Clin Microbiol. 1998; 36(10): 2932-9.

  4. Barrett BA, Hill PI: A micromethod for the erythrocyte sedimentation rate suitable for use on venus or capillary blood. J Clin Pathol. 1980; 33(11): 1118-20.

  5. Berbari E, Mabry T, Tsaras G, Spangehl M, Erwin PJ, Murad MH, et al: Inflammatory blood laboratory levels as markers of prosthetic joint infection: a systematic review and meta-analysis. J Bone Joint Surg Am. 2010; 92(11): 2102-9.

  6. Fink B, Gebhard A, Fuerst M, Berger I, Schäfer P: High diagnostic value of synovial biopsy in periprosthetic joint infection of the hip. Clin Orthop Relat Res. 2013; 471(3): 956-64.

  7. Williams JL, Norman P, Stockley I: The value of hip aspiration versus tissue biopsy in diagnosing infection before exchange hip arthroplasty surgery. J Arthroplasty. 2004; 19(5): 582-6.

  8. Hwang BH, Yoon JY, Nam CH, Jung KA, Lee SC, Han CD, et al: Fungal peri-prosthetic joint infection after primary total knee replacement. J Bone Joint Surg Br. 2012; 94(5): 656-9.

  9. Butler-Wu SM, Burns EM, Pottinger PS, Magaret AS, Rakeman JL, Matsen FA 3rd, et al: Optimization of periprosthetic culture for diagnosis of Propionibacterium acnes prosthetic joint infection. J Clin Microbiol. 2011; 49(7): 2490-5.

  10. Burnett RS, Aggarwal A, Givens SA, McClure JT, Morgan PM, Barrack RL: Prophylactic antibiotics do not affect cultures in the treatment of an infected TKA: a prospective trial. Clin Orthop Relat Res. 2010; 468(1): 127-34.