SEPTIC ARTHRITIS AFTER ARTHROSCOPY - THE CONTRIBUTING ROLES OF INTRAARTICULAR STEROIDS AND ENVIRONMENTAL-FACTORS

被引:61
作者
ARMSTRONG, RW [1 ]
BOLDING, F [1 ]
机构
[1] GOOD SAMARITAN HOSP,DEPT INTERNAL MED,SAN JOSE,CA
关键词
D O I
10.1016/0196-6553(94)90086-8
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
During a 9-month period at a small surgical center, seven cases of postarthroscopic septic arthritis occurred after 352 arthroscopic procedures, for an infection rate of 2.0%. Electrocardiographic cables contaminated with Pseudomonas aeruginosa from an unsterile cleaning solution probably led to two shoulder infections. Five other infections (one definite Staphylococcus aureus and three definite and one possible coagulase-negative staphylococci) were attributed to inadequate arthroscope disinfection. In the initial phase of the outbreak, use of intraoperative intraarticular corticosteroids correlated with the occurrence of infection.
引用
收藏
页码:16 / 18
页数:3
相关论文
共 9 条
[1]  
Johnson, Schneider, Austin, Goodman, Bullock, DeBruin, Two percent glutaraldehyde: a disinfectant in arthroscopy and arthroscopic surgery, J Bone Joint Surg Am, 64, pp. 237-239, (1982)
[2]  
Metcalf, Ewing, Mulhollan, Spraque, Symposium: arthroscopic knee surgery, Contemp Orthop, 5, pp. 79-112, (1982)
[3]  
Armstrong, Bolding, Joseph, Septic arthritis following arthroscopy: clinical syndromes and analysis of risk factors, Arthroscopy, 8, pp. 213-223, (1992)
[4]  
Gardner, Gardner, Winter, Confidence interval analysis (CIA), (1989)
[5]  
Sherman, Fox, Snyder, Et al., Arthroscopy — “no problem surgery”, J Bone Joint Surg Br, 68, pp. 256-265, (1978)
[6]  
D'Angelo, Ogilvie-Harris, Septic arthritis following arthroscopy, with cost/benefit analysis of antibiotic prophylaxis, Arthroscopy, 4, pp. 10-14, (1988)
[7]  
Ajemian, Andrews, Hryb, Klimek, Hospitala-cquired infections after arthroscopic knee surgery: a probable environmental source, Am J Infect Control, 15, pp. 159-161, (1987)
[8]  
Gorman, Scott, A review: antimicrobial activity, uses, and mechanism of action of glutaraldehyde, J Appl Bacteriol, 48, pp. 161-190, (1980)
[9]  
Montgomery, Campbell, Septic arthritis following arthroscopy and intra-articular steroids, J Bone Joint Surg Br, 71, (1989)