کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4074378 1267008 2012 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Reinfection rates after 1-stage revision shoulder arthroplasty for patients with unexpected positive intraoperative cultures
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Reinfection rates after 1-stage revision shoulder arthroplasty for patients with unexpected positive intraoperative cultures
چکیده انگلیسی

BackgroundRecent studies have detailed the significance of indolent infections in revision shoulder arthroplasty, but little information is available to guide treatment strategies regarding patients with positive cultures without overt signs of infection. The primary purpose of this study was to determine recurrence rates of infection for patients undergoing revision shoulder arthroplasty who were not treated for infection but had positive intraoperative cultures.Materials and methodsWe retrospectively reviewed the results of 17 patients undergoing revision of a failed shoulder joint replacement with at least 1 positive intraoperative culture who were not treated for infection because of limited signs of infection before or at the time of revision surgery. These patients underwent 1-stage revision surgery without an extended intravenous antibiotic regimen.ResultsThe recurrence rate of infection for the 17 patients was 5.9%. The most common pathogen cultured at revision surgery was Propionibacterium acnes (10 of 17 [56%]), followed by coagulase-negative Staphylococcus species (6 of 17 [35%]).ConclusionWe found that low-virulence and clinically unexpected infections treated with 1-stage revision have a low risk for recurrent infection. This study suggests that intensive antimicrobial treatment strategies may not be necessary to reduce recurrent infections in patients with positive intraoperative cultures, without overt clinical signs of infection before or during the revision surgery.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Shoulder and Elbow Surgery - Volume 21, Issue 6, June 2012, Pages 754–758
نویسندگان
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