scholarly journals The Impact of the Multidisciplinary Team on the Management of Prosthetic Joint Infection in Trauma and Orthopaedic Surgery

2020 ◽  
Author(s):  
Nemandra A. Sandiford ◽  
Konrad Wronka
Keyword(s):  
Health Care Providers ◽  
Prosthetic Joint Infection ◽  
Orthopaedic Surgery ◽  
Joint Infection ◽  
Multidisciplinary Care ◽  
Care Providers ◽  
Prosthetic Joint ◽  
The Impact ◽  
Multi Disciplinary Team

Periprosthetic Joint Infection (PJI) is a devastating complication of the Total Joint Arthroplasty (TJA). It presents a great challenge for the clinician to diagnose and manage it appropriately, with significant morbidity for the patients and cost for health care providers. The purpose of this study is to review and examine the role of multi-disciplinary team (MDT) approach in diagnosis and management of prosthetic joint infection (PJI) and how this approach can influence outcomes. All published literature examining the role of multidisciplinary care in the management of PJI and the influence of this approach to the management and outcomes of patients with this diagnosis were included. Studies published in languages other than English were excluded. There is a paucity of data on the influence of multidisciplinary care on outcomes of the management of PJI. Evidence suggests that the MDT has important role in ensuring all factors in the management of this complex group are considered and best possible care is delivered. Multicentre randomised clinical trials are required to assess the influence of MDT’S on outcome as well as important questions around the structuring of these teams.

scholarly journals Role of Universal 16S rRNA Gene PCR and Sequencing in Diagnosis of Prosthetic Joint Infection

2011 ◽  
Vol 50 (3) ◽  
pp. 583-589 ◽  
Author(s):  
M. Marin ◽  
J. M. Garcia-Lechuz ◽  
P. Alonso ◽  
M. Villanueva ◽  
L. Alcala ◽  
...  
Keyword(s):  
16S Rrna ◽  
16S Rrna Gene ◽  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Rrna Gene ◽  
Prosthetic Joint

scholarly journals Impact of Prior Intra-articular Injections on the Risk of Prosthetic Joint Infection Following Total Joint Arthroplasty: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 8 ◽  
Author(s):  
Fei Nie ◽  
Wei Li
Keyword(s):  
Systematic Review ◽  
Prosthetic Joint Infection ◽  
Total Joint Arthroplasty ◽  
Meta Analysis ◽  
Joint Infection ◽  
Joint Arthroplasty ◽  
Injection Group ◽  
Prosthetic Joint ◽  
Increased Risk ◽  
The Impact

Objective: The current review was designed to assess the impact of prior intra-articular injections on the risk of prosthetic joint infection (PJI) in patients undergoing total joint arthroplasty (TJA) with a focus on the timing of injection before surgery.Methods: The databases of PubMed, Embase and Google Scholar were searched up to 15th June 2021. All studies comparing the incidence of PJI with and without prior intra-articular injections were included. Risk ratios (RR) with 95% confidence intervals were calculated for PJI.Results: Nineteen studies were included. Both corticosteroids and hyaluronic acid injections were used before TJA in the included studies. Overall, comparing 127,163 patients with prior intra-articular injections and 394,104 patients without any injections, we noted a statistically significant increased risk of PJI in the injection group (RR 1.24 95% CI: 1.11, 1.38 I2 = 48% p = 0.002). On subgroup analysis, there was a statistically significant increased risk of PJI in the injection group in studies where intra-articular injections were administered <12 months before surgery (RR 1.18 95% CI: 1.10, 1.27 I2 = 7% p < 0.00001). Furthermore, on meta-analysis, we noted non-significant but increased risk of PJI when injections were administered 1 month (RR 1.47 95% CI: 0.88, 2.46 I2 = 77% p = 0.14), 0–3 months (RR 1.22 95% CI: 0.96, 1.56 I2 = 84% p = 0.11), and 3–6 months (RR 1.16 95% CI: 0.99, 1.35 I2 = 49% p = 0.06) before surgery.Conclusion: Our results indicate that patients with prior intra-articular injections have a small but statistically significant increased risk of PJI after TJA. Considering that PJI is a catastrophic complication with huge financial burden, morbidity and mortality; the clinical significance of this small risk cannot be dismissed. The question of the timing of injections and the risk of PJI still remains and can have a significant impact on the decision making.Systematic Review Registration: PROSPERO: CRD42021258297.

scholarly journals Outcome of Prosthetic Joint Infection in Patients with Rheumatoid Arthritis: The Impact of Medical and Surgical Therapy in 200 Episodes

2006 ◽  
Vol 42 (2) ◽  
pp. 216-223 ◽  
Author(s):  
E. F. Berbari ◽  
D. R. Osmon ◽  
M. C. T. Duffy ◽  
R. N. W. Harmssen ◽  
J. N. Mandrekar ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Surgical Therapy ◽  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Prosthetic Joint ◽  
The Impact

scholarly journals Deep prosthetic joint infection: a qualitative study of the impact on patients and their experiences of revision surgery

BMJ Open ◽  
2015 ◽  
Vol 5 (12) ◽  
pp. e009495 ◽  
Author(s):  
Andrew J Moore ◽  
Ashley W Blom ◽  
Michael R Whitehouse ◽  
Rachael Gooberman-Hill
Keyword(s):  
Qualitative Study ◽  
Prosthetic Joint Infection ◽  
Revision Surgery ◽  
Joint Infection ◽  
Prosthetic Joint ◽  
The Impact

scholarly journals Insights for rural health care provider retention : a quantitative survey analysis

2021 ◽  
Author(s):  
◽  
Maria Kuhns
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Rural Health ◽  
Health Care Provider ◽  
Health Care Providers ◽  
Care Provider ◽  
Rural Health Care ◽  
Care Providers ◽  
The Impact

Due to rural health disparities and an uneven distribution of health providers across the rural urban continuum, retaining the existing rural health care provider workforce may be an important strategy to maintain existing rural health care provision. While a large body of literature addresses how to recruit health care providers to rural areas, less is known about how to retain these providers. Even less literature has focused on the role of rural communities in health care provider retention. In this thesis, I examine the role of provider background and familial characteristics, workplace characteristics, and community characteristics that may impact a provider's likelihood to consider leaving a rural community. I use data from a survey of over 900 rural health care providers across nine states and a probit model to estimate the impact of these characteristics on a provider's propensity to consider leaving. I find that establishing social ties and integrating within the community through volunteering reduces providers' likelihood to consider leaving by 10 percent. Additionally, providers who engage in entrepreneurship by investing in part or all of their practice are 12 percent less likely to consider leaving, all else being equal. I also find that having unacceptable on-call responsibilities increases a provider's likelihood to consider leaving by 17 percent. This thesis contributes to the existing literature by estimating the effects of work-life balance, entrepreneurship, and the role of family and personal integration on provider retention. Furthermore, it emphasizes the role of communities in provider retention. These results offer insights to rural communities and decision-makers seeking to identify how to maintain their existing rural health care workforce.

scholarly journals Assessing the Role of Daptomycin as Antibiotic Therapy for Staphylococcal Prosthetic Joint Infection

2020 ◽  
Vol 5 (2) ◽  
pp. 82-88
Author(s):  
Alberto V. Carli ◽  
Andy O. Miller ◽  
Milan Kapadia ◽  
Yu-fen Chiu ◽  
Geoffrey H. Westrich ◽  
...  
Keyword(s):  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Treatment Success ◽  
International Consensus ◽  
Musculoskeletal Infection ◽  
Prosthesis Retention ◽  
Prosthetic Joint ◽  
Comorbidity Index ◽  
Two Stages

Abstract. Background: The role of daptomycin, a potent, safe, convenient anti-staphylococcal antibiotic, in treatment of prosthetic joint infection (PJI) is unclear. We evaluated our experience with the largest cohort of patients with staphylococcal PJI managed with daptomycin.Methods: A cohort of staphylococcal hip and knee PJI treated with daptomycin was identified by hospital records from 2009 to 2016. All cases met Musculoskeletal Infection Society International Consensus criteria for PJI. The primary endpoint was 2 year prosthesis retention. Univariate analyses and regression statistics were calculated.Results: 341 patients with staphylococcal PJI were analyzed. 154 two-stages (77%) and 74 DAIR procedures (52%) met criteria for treatment success at 2 years. 77 patients were treated with daptomycin, of which 34 two-stages (68%) and 15 DAIRs (56%) achieved treatment success. Pairwise and regression analysis found no association between treatment success and daptomycin use. Organism (DAIR only) and Charlson Comorbidity Index scores (DAIR and two-stage) were significantly associated with treatment outcome. Six daptomycin patients (7.8%) had adverse side effects.Discussion: Daptomycin fared no better or worse than comparable antibiotics in a retrospective cohort of staphylococcal hip and knee PJI patients, regardless of surgical strategy.Conclusion: The convenient dosing, safety, and potency of daptomycin make it an attractive antibiotic for staphylococcal PJI. However, these advantages must be weighed against higher costs and rare, but serious side effects.

scholarly journals Two-stage revision for prosthetic joint infection: predictors of outcome and the role of reimplantation microbiology

2011 ◽  
Vol 66 (5) ◽  
pp. 1204-1204 ◽  
Author(s):  
P. Bejon ◽  
A. Berendt ◽  
B. L. Atkins ◽  
N. Green ◽  
H. Parry ◽  
...  
Keyword(s):  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Predictors Of Outcome ◽  
Two Stage ◽  
Prosthetic Joint

scholarly journals Two-stage revision for prosthetic joint infection: predictors of outcome and the role of reimplantation microbiology

2010 ◽  
Vol 65 (3) ◽  
pp. 569-575 ◽  
Author(s):  
P. Bejon ◽  
A. Berendt ◽  
B. L. Atkins ◽  
N. Green ◽  
H. Parry ◽  
...  
Keyword(s):  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Predictors Of Outcome ◽  
Two Stage ◽  
Prosthetic Joint

The role of fluoroscopic biopsy in diagnosis of chronic prosthetic joint infection

2017 ◽  
Vol 72 ◽  
pp. S6
Author(s):  
Louise Wing ◽  
Andrew Macdonald ◽  
Karen Partington
Keyword(s):  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Prosthetic Joint

scholarly journals MP10-15 THE IMPACT OF COMMON UROLOGIC COMPLICATIONS ON THE RISK OF A PROSTHETIC JOINT INFECTION

2018 ◽  
Vol 199 (4S) ◽  
Author(s):  
Nahid Punjani ◽  
Brent Lanting ◽  
Andrew McClure ◽  
Jennifer Winick-Ng ◽  
Blayne Welk
Keyword(s):  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Urologic Complications ◽  
Prosthetic Joint ◽  
The Impact
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