Prosthetic Joint Infection Trends at a Dedicated Orthopaedics Specialty Hospital
المؤلفون المشاركون
Runner, Robert P.
Mener, Amanda
Roberson, James R.
Bradbury, Thomas L.
Guild, George N.
Boden, Scott D.
Erens, Greg A.
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-02-10
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Introduction.
Historically, a majority of prosthetic joint infections (PJIs) grew Gram-positive bacteria.
While previous studies stratified PJI risk with specific organisms by patient comorbidities, we compared infection rates and microbiologic characteristics of PJIs by hospital setting: a dedicated orthopaedic hospital versus a general hospital serving multiple surgical specialties.
Methods.
A retrospective review of prospectively collected data on 11,842 consecutive primary hip and knee arthroplasty patients was performed.
Arthroplasty cases performed between April 2006 and August 2008 at the general university hospital serving multiple surgical specialties were compared to cases at a single orthopaedic specialty hospital from September 2008 to August 2016.
Results.
The general university hospital PJI incidence rate was 1.43%, with 5.3% of infections from Gram-negative species.
In comparison, at the dedicated orthopaedic hospital, the overall PJI incidence rate was substantially reduced to 0.75% over the 8-year timeframe.
Comparing the final two years of practice at the general university facility to the most recent two years at the dedicated orthopaedics hospital, the PJI incidence was significantly reduced (1.43% vs 0.61%).
Though the overall number of infections was reduced, there was a significantly higher proportion of Gram-negative infections over the 8-year timeframe at 25.3%.
Conclusion.
In transitioning from a multispecialty university hospital to a dedicated orthopaedic hospital, the PJI incidence has been significantly reduced despite a greater Gram-negative proportion (25.3% versus 5.3%).
These results suggest a change in the microbiologic profile of PJI when transitioning to a dedicated orthopaedic facility and that greater Gram-negative antibiotic coverage could be considered.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Runner, Robert P.& Mener, Amanda& Roberson, James R.& Bradbury, Thomas L.& Guild, George N.& Boden, Scott D.…[et al.]. 2019. Prosthetic Joint Infection Trends at a Dedicated Orthopaedics Specialty Hospital. Advances in Orthopedics،Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1121587
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Runner, Robert P.…[et al.]. Prosthetic Joint Infection Trends at a Dedicated Orthopaedics Specialty Hospital. Advances in Orthopedics No. 2019 (2019), pp.1-9.
https://search.emarefa.net/detail/BIM-1121587
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Runner, Robert P.& Mener, Amanda& Roberson, James R.& Bradbury, Thomas L.& Guild, George N.& Boden, Scott D.…[et al.]. Prosthetic Joint Infection Trends at a Dedicated Orthopaedics Specialty Hospital. Advances in Orthopedics. 2019. Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1121587
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1121587
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر