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Bilateral One-Stage Revision of Infected Total Hip Arthroplasties: Report of Two Cases and Management of Antibiotic Therapy
Joint Authors
Senneville, Eric
Pommepuy, Thomas
Lons, Adrien
Benad, Kevin
Beltrand, Eric
Migaud, Henri
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-01-19
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Recommendations for the management of chronic and bilateral total hip arthroplasty (THA) infection are lacking.
However, this type of infection involves medical problems concerning the management of the antibiotic therapy.
We report two cases of such infections operated as one-stage revision.
For each case, both hips were infected with the same bacteria (Staphylococcus caprae for one patient and methicillin-sensitive Staphylococcus aureus for the other).
The probabilistic antibiotic treatment started during the first side (after harvesting intraoperative samples) did not prevent the culture of the bacteriologic harvested during the intervention of the second side.
Cultures were positive for the same bacteria for both sides in the two cases presented herein.
After results of intraoperative cultures, patients received culture-guided antibiotic therapy for three months and were considered cured at the end of a two-year follow-up.
Our results suggest one-stage bilateral change of infected THA is a viable option and that early intraoperative antibiotic, started during the first-side exchange, does not jeopardize microbiological documentation of the second side.
This work brings indirect arguments, in favor of the use of prophylactic antibiotics during revision of infected THA.
American Psychological Association (APA)
Pommepuy, Thomas& Lons, Adrien& Benad, Kevin& Beltrand, Eric& Senneville, Eric& Migaud, Henri. 2016. Bilateral One-Stage Revision of Infected Total Hip Arthroplasties: Report of Two Cases and Management of Antibiotic Therapy. Case Reports in Orthopedics،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101980
Modern Language Association (MLA)
Pommepuy, Thomas…[et al.]. Bilateral One-Stage Revision of Infected Total Hip Arthroplasties: Report of Two Cases and Management of Antibiotic Therapy. Case Reports in Orthopedics No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1101980
American Medical Association (AMA)
Pommepuy, Thomas& Lons, Adrien& Benad, Kevin& Beltrand, Eric& Senneville, Eric& Migaud, Henri. Bilateral One-Stage Revision of Infected Total Hip Arthroplasties: Report of Two Cases and Management of Antibiotic Therapy. Case Reports in Orthopedics. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101980
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101980