Risk Factors for Infection Following Total Knee Arthroplasty: A Series of 3836 Cases from One Institution

被引:74
作者
Crowe, Brooks [1 ]
Payne, Ashley [1 ]
Evangelista, Perry J. [1 ]
Stachel, Anna [2 ]
Phillips, Michael S. [2 ]
Slover, James D. [1 ]
Inneh, Ifeoma A. [1 ]
Iorio, Richard [1 ]
Bosco, Joseph A. [1 ]
机构
[1] NYU, Langone Med Ctr, Hosp Joint Dis, Dept Orthopaed Surg, New York, NY 10003 USA
[2] NYU, Langone Med Ctr, Dept Med Epidemiol & Infect Control, New York, NY 10003 USA
关键词
total knee arthroplasty; infection; risk factors; modifiable; interventions; SURGICAL-SITE INFECTIONS; PERIPROSTHETIC JOINT INFECTION; STAPHYLOCOCCUS-AUREUS; DIABETES-MELLITUS; HEMOGLOBIN A1C; POSTOPERATIVE COMPLICATIONS; NASAL CARRIERS; TOTAL HIP; SMOKING; SURGERY;
D O I
10.1016/j.arth.2015.06.058
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
Higher PJI rates may be related to identifiable risk factors, which may or may not be modifiable. Identifying risk factors preoperatively provides opportunities for modification and potentially decreasing the incidence of PJI. The purposes of this study were to: (1) retrospectively identify and quantify risk factors for PJI following primary TKA, and (2) to classify those significant risk factors as either non-modifiable or modifiable for intervention prior to surgery. Optimization of modifiable risk factors such as Staphylococcus aureus colonization, and tobacco use prior to primary TKA may decrease the incidence of periprosthetic joint infection after primary TKA, thereby reducing morbidity and the costs associated with treating those infections. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:2275 / 2278
页数:4
相关论文
共 29 条
[1]
Preventing Surgical-Site Infections in Nasal Carriers of Staphylococcus aureus [J].
Bode, Lonneke G. M. ;
Kluytmans, Jan A. J. W. ;
Wertheim, Heiman F. L. ;
Bogaers, Diana ;
Vandenbroucke-Grauls, Christina M. J. E. ;
Roosendaal, Robert ;
Troelstra, Annet ;
Box, Adrienne T. A. ;
Voss, Andreas ;
van der Tweel, Ingeborg ;
van Belkum, Alex ;
Verbrugh, Henri A. ;
Vos, Margreet C. .
NEW ENGLAND JOURNAL OF MEDICINE, 2010, 362 (01) :9-17
[2]
Bosco J, 2010, JBJS A, V92-A, P231
[3]
Centers for Disease Control and Prevention-National Healthcare Safety Networks (CDC/NHSN), 2014, PROC ASS MOD SURG SI
[4]
Infection after knee arthroplasty - A prospective study of 1509 cases [J].
Chesney, David ;
Sales, Jim ;
Elton, Robert ;
Brenkel, Ivan J. .
JOURNAL OF ARTHROPLASTY, 2008, 23 (03) :355-359
[5]
Is Hemoglobin A1c or Perioperative Hyperglycemia Predictive of Periprosthetic Joint Infection or Death Following Primary Total Joint Arthroplasty? [J].
Chrastil, Jesse ;
Anderson, Mike B. ;
Stevens, Vanessa ;
Anand, Rahul ;
Peters, Christopher L. ;
Pelt, Christopher E. .
JOURNAL OF ARTHROPLASTY, 2015, 30 (07) :1197-1202
[6]
Illingworth Kenneth David, 2013, J Bone Joint Surg Am, V95, pe50, DOI 10.2106/JBJS.L.00596
[7]
Diabetes Mellitus, Hemoglobin A1C, and the Incidence of Total Joint Arthroplasty Infection [J].
Iorio, Richard ;
Williams, Kelly M. ;
Marcantonio, Andrew J. ;
Specht, Lawrence M. ;
Tilzey, John F. ;
Healy, William L. .
JOURNAL OF ARTHROPLASTY, 2012, 27 (05) :726-729
[8]
Prevention of deep infection in joint replacement surgery A review [J].
Jamsen, Esa ;
Furnes, Ove ;
Engesaeter, Lars B. ;
Konttinen, Yrjo T. ;
Odgaard, Anders ;
Stefansdottir, Anna ;
Lidgren, Lars .
ACTA ORTHOPAEDICA, 2010, 81 (06) :660-666
[9]
Economic Evaluation of Chlorhexidine Cloths on Healthcare Costs due to Surgical Site Infections Following Total Knee Arthroplasty [J].
Kapadia, Bhaveen H. ;
Johnson, Aaron J. ;
Issa, Kimona ;
Mont, Michael A. .
JOURNAL OF ARTHROPLASTY, 2013, 28 (07) :1061-1065
[10]
The Impact of Smoking on Surgical Outcomes [J].
Khullar, Dhruv ;
Maa, John .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2012, 215 (03) :418-426