Use and Cost-Effectiveness of Intraoperative Acid-Fast Bacilli and Fungal Cultures in Assessing Infection of Joint Arthroplasties

被引：19

作者：

Wadey, Veronica M. ^{[1
,2
]}

Huddleston, James I. ^{[3
]}

Goodman, Stuart B. ^{[3
]}

Schurman, David J. ^{[3
]}

Maloney, William J. ^{[3
]}

Baron, Ellen J. ^{[4
]}

机构：

[1] Univ Toronto, Dept Surg, Div Orthopaed Surg, Fac Med,Holland Orthopaed & Arthrit Ctr, Toronto, ON M4Y 1H1, Canada

[2] Univ Toronto, Sunnybrook Hlth Sci Ctr, Toronto, ON M4Y 1H1, Canada

[3] Stanford Univ, Med Ctr, Sch Med, Dept Orthopaed Surg,Stanford Hosp & Clin, Stanford, CA 94305 USA

[4] Stanford Univ, Med Ctr, Sch Med, Dept Pathol,Stanford Hosp & Clin, Stanford, CA 94305 USA

来源：

JOURNAL OF ARTHROPLASTY | 2010年 / 25卷 / 08期

关键词：

periprosthetic infection; AFB fungal infections; STAPHYLOCOCCUS-AUREUS; RAPID DETECTION; REVISION; DIAGNOSIS; SPECIMENS; ASSAYS; MRSA;

D O I：

10.1016/j.arth.2009.08.018

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

The objective of this study is to determine a protocol for collecting acid-fast bacilli (AFB) and fungal intraoperative cultures during orthopedic procedures An observational study was undertaken Four hundred forty-six AFB cultures and 486 fungal cultures were processed over a 2-year period The number of positive cultures was determined A protocol specific to handling these types of specimens was developed Cost analysis was completed to determine both the time and money saved if the new protocol was implemented The infrequency of positive AFB and fungal cultures in this study suggests that it is only necessary to routinely request AFB and fungal cultures on 1 of 5 samples Implementation of this protocol has potential to lead to substantial cost reduction and resource savings without diminishing patient outcomes

引用

页码：1231 / 1234

页数：4

共 13 条

[1]

Prospective evaluation of criteria for microbiological diagnosis of prosthetic-joint infection at revision arthroplasty [J].