scholarly journals Wound Leakage With the Use of Calcium Sulphate Beads in Prosthetic Joint Surgeries: A Systematic Review

Cureus ◽  
2021 ◽  
Author(s):  
Muhammad Yasir Tarar ◽  
Aizaz Khalid ◽  
Muhammad Usman ◽  
Komal Javed ◽  
Numan Shah ◽  
...  
Keyword(s):  
Systematic Review ◽  
Calcium Sulphate ◽  
Prosthetic Joint ◽  
Wound Leakage

Prosthetic Joint Infections Caused by Candida Species: A Systematic Review and a Case Series

2018 ◽  
Vol 184 (1) ◽  
pp. 23-33 ◽  
Author(s):  
Yoo Ra Lee ◽  
Hyun Jung Kim ◽  
Eun Ju Lee ◽  
Jang Wook Sohn ◽  
Min Ja Kim ◽  
...  
Keyword(s):  
Systematic Review ◽  
Candida Species ◽  
Case Series ◽  
Joint Infections ◽  
Prosthetic Joint ◽  
Prosthetic Joint Infections

Evaluation of early wound leakage as a risk factor for prosthetic joint infection

2019 ◽  
Vol 31 (6) ◽  
pp. 337-343 ◽  
Author(s):  
Keetie Kremers ◽  
Borg Leijtens ◽  
Simone Camps ◽  
Alma Tostmann ◽  
Sander Koëter ◽  
...  
Keyword(s):  
Risk Factor ◽  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Prosthetic Joint ◽  
Wound Leakage ◽  
Early Wound

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 Prosthetic Joint Infection After Dental Work: Is the Correct Prophylaxis Being Prescribed? A Systematic Review

2021 ◽  
Vol 7 ◽  
pp. 69-75
Author(s):  
Richard M. Danilkowicz ◽  
Anne M. Lachiewicz ◽  
Daniel J. Lorenzana ◽  
Karen D. Barton ◽  
Paul F. Lachiewicz
Keyword(s):  
Systematic Review ◽  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Prosthetic Joint ◽  
Dental Work

scholarly journals The Effect of Preoperative Antimicrobial Prophylaxis on Intraoperative Culture Results in Patients with a Suspected or Confirmed Prosthetic Joint Infection: a Systematic Review

2017 ◽  
Vol 55 (9) ◽  
pp. 2765-2774 ◽  
Author(s):  
Marjan Wouthuyzen-Bakker ◽  
Natividad Benito ◽  
Alex Soriano
Keyword(s):  
Systematic Review ◽  
Prosthetic Joint Infection ◽  
Revision Surgery ◽  
Antimicrobial Prophylaxis ◽  
Joint Infection ◽  
False Negative ◽  
Surgical Site Infections ◽  
Culture Techniques ◽  
Prosthetic Joint ◽  
Culture Yield

ABSTRACTObtaining reliable cultures during revision arthroplasty is important to adequately diagnose and treat a prosthetic joint infection (PJI). The influence of antimicrobial prophylaxis on culture results remains unclear. Since withholding prophylaxis increases the risk for surgical site infections, clarification on this topic is critical. A systematic review was performed with the following research question: in patients who undergo revision surgery of a prosthetic joint, does preoperative antimicrobial prophylaxis affect the culture yield of intraoperative samples in comparison with nonpreoperative antimicrobial prophylaxis? Seven articles were included in the final analysis. In most studies, standard diagnostic culture techniques were used. In patients with a PJI, pooled analysis showed a culture yield of 88% (145/165) in the prophylaxis group versus 95% (344/362) in the nonprophylaxis group (P= 0.004). Subanalysis of patients with chronic PJIs showed positive cultures in 88% (78/89) versus 91% (52/57), respectively (P= 0.59). In patients with a suspected chronic infection, a maximum difference of 4% in culture yield between the prophylaxis and nonprophylaxis groups was observed. With the use of standard culture techniques, antimicrobial prophylaxis seems to affect cultures in a minority of patients. Along with the known risk of surgical site infections due to inadequate timing of antimicrobial prophylaxis, we discourage the postponement of prophylaxis until tissue samples are obtained in revision surgery. Future studies are necessary to conclude whether the small percentage of false-negative cultures after prophylaxis can be further reduced with the use of more-sensitive culture techniques, like sonication.

scholarly journals Health Care Needs and Support for Patients Undergoing Treatment for Prosthetic Joint Infection following Hip or Knee Arthroplasty: A Systematic Review

PLoS ONE ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. e0169068 ◽  
Author(s):  
Setor K. Kunutsor ◽  
Andrew D. Beswick ◽  
Tim J. Peters ◽  
Rachael Gooberman-Hill ◽  
Michael R. Whitehouse ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Knee Arthroplasty ◽  
Prosthetic Joint Infection ◽  
Joint Infection ◽  
Health Care Needs ◽  
Care Needs ◽  
Prosthetic Joint
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