Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-29T19:38:26.021Z Has data issue: false hasContentIssue false

Risk Factors for Subsequent Diagnosis of Prosthetic Joint Infection

Published online by Cambridge University Press:  02 January 2015

Saima Aslam*
Affiliation:
Section of Infectious Diseases, Department of Medicine, Houston, Texas Baylor College of Medicine, and the Medical Care Line, Michael E. DeBakey VA Medical Center, Houston, Texas
Charles Reitman
Affiliation:
Department of Surgery, Houston, Texas
Rabih O. Darouiche
Affiliation:
Section of Infectious Diseases, Department of Medicine, Houston, Texas Center for Prostheses Infection, Houston, Texas Baylor College of Medicine, and the Medical Care Line, Michael E. DeBakey VA Medical Center, Houston, Texas
*
Room 4B-370, Michael E. DeBakey VA Medical Center, 2002 Holcombe Boulevard, Houston, TX 77030 ([email protected])

Extract

The factors associated with prosthetic joint infection for 126 patients in a case-control study were as follows: bacteremia during the previous year (odds ratio [OR], 4.25 [95% confidence interval {CI}, 1.3–3.8]), nonsurgical trauma to the prosthetic joint (OR, 21.5 [95% CI, 2.6–175.2]), and surgical site infection (OR, 5.25 [95% CI, 1.7–16.7]).

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Murdoch, DR, Roberts, SA, Fowler, VG Jret al.Infection of orthopedic prostheses after Staphylococcus aureus bacteremia. Clin Infect Dis 2001;32(4):647649.Google Scholar
2.Lalani, T, Chu, VH, Grussemeyer, CA, et al.Clinical outcomes and costs among patients with Staphylococcus aureus bacteremia and orthopedic device infections. Scand J Infect Dis 2008;40(11-12):973977.CrossRefGoogle ScholarPubMed
3.Luessenhop, CP, Higgins, LD, Brause, BD, Ranawat, CS. Multiple prosthetic infections after total joint arthroplasty: risk factor analysis. J Arthroplasty 1996;11(7):862868.Google Scholar
4.Darouiche, RO. Treatment of infections associated with surgical implants. N Engl J Med 2004;350(14):14221429.Google Scholar
5.Zimmerli, W, Waldvogel, FA, Vaudaux, P, Nydegger, UE. Pathogenesis of foreign body infection: description and characteristics of an animal model. J Infect Dis 1982;146(4):487497.Google Scholar
6.Berbari, EF, Hanssen, AD, Duffy, MC, et al.Risk factors for prosthetic joint infection: case-control study. Clin Infect Dis 1998;27(5):12471254.CrossRefGoogle ScholarPubMed
7.Moran, GJ, Krishnadasan, A, Gorwitz, RJ, et al. Methicillin-resistant S. aureus infections among patients in the emergency department. N Engl J Med 2006;355(7):666674.CrossRefGoogle Scholar
8.Wymenga, AB, van Horn, JR, Theeuwes, A, Muytjens, HL, Slooff, TJ. Peri-operative factors associated with septic arthritis after arthroplasty. Prospective multicenter study of 362 knee and 2,651 hip operations. Acta Orthop Scand 1992;63(6):665671.Google Scholar
9.Marculescu, CE, Berbari, EF, Hanssen, AD, et al.Outcome of prosthetic joint infections treated with debridement and retention of components. Clin Infect Dis 2006;42(4):471478.Google Scholar