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Prognosis of unexpected positive intraoperative cultures in arthroplasty revision: A large multicenter cohort

dc.contributor.authorMancheño-Losa, Mikel
dc.contributor.authorLora-Tamayo, Jaime
dc.contributor.authorFernandez-Sampedro, Marta
dc.contributor.authorRodriguez-Pardo, Dolors
dc.contributor.authorMuñoz-Mahamud, Ernesto
dc.contributor.authorSoldevila, Laura
dc.contributor.authorPalou, Mariona
dc.contributor.authorBarbero, Jose Maria
dc.contributor.authorDel-Toro, Maria Dolores
dc.contributor.authorIribarren, Jose Antonio
dc.contributor.authorBenito, Natividad
dc.contributor.authorSobrino, Beatriz
dc.contributor.authorRico-Nieto, Alicia
dc.contributor.authorGuio-Carrion, Laura
dc.contributor.authorGomez, Lucia
dc.contributor.authorEscudero-Sanchez, Rosa
dc.contributor.authorGarcia-Pais, Maria Jose
dc.contributor.authorJover-Saenz, Alfredo
dc.contributor.authorPraena, Julia
dc.contributor.authorBaraia-Etxaburu, Josu Miren
dc.contributor.authorAuñon, Alvaro
dc.contributor.authorMuñez-Rubio, Elena
dc.contributor.authorMurillo, Oscar
dc.date.accessioned2023-05-03T15:05:03Z
dc.date.available2023-05-03T15:05:03Z
dc.date.issued2021-09-09
dc.description.abstractBackground: The positive-intraoperative-cultures-type prosthetic joint infection (PIOC-PJI) is considered when surgical cultures yield microorganisms in presumed aseptic arthroplasty revisions. Herein we assess the risk factors for failure in the largest cohort of PIOC-PJI patients reported to date. Methods: A retrospective, observational, multicenter study was performed during 2007-2017. Surgeries leading to diagnose PIOC-PJI included only one-stage procedures with either complete or partial prosthesis revision. Failure was defined as recurrence caused by the same microorganism. Results: 203 cases were included (age 72 years, 52% females). Coagulase-negative staphylococci (n = 125, 62%) was the main etiology, but some episodes were caused by virulent bacteria (n = 51, 25%). Prosthesis complete and partial revision was performed in 93 (46%) and 110 (54%) cases, respectively. After a median of 3.4 years, failure occurred in 17 episodes (8.4%, 95%CI 5.3-13.1). Partial revision was an independent predictor of failure (HR 3.63; 95%CI 1.03-12.8), adjusted for gram-negative bacilli (GNB) infection (HR 2.68; 95%CI 0.91-7.89) and chronic renal impairment (HR 2.40; 95%CI 0.90-6.44). Treatment with biofilm-active antibiotics (rifampin/fluoroquinolones) had a favorable impact on infections caused by staphylococci and GNB. Conclusion: Overall prognosis of PIOC-PJI is good, but close follow-up is required in cases of partial revision and in infections caused by GNB.
dc.description.versionSi
dc.identifier.citationMancheño-Losa M, Lora-Tamayo J, Fernández-Sampedro M, Rodríguez-Pardo D, Muñoz-Mahamud E, Soldevila L, et al. Prognosis of unexpected positive intraoperative cultures in arthroplasty revision: A large multicenter cohort. J Infect. 2021 Nov;83(5):542-549
dc.identifier.doi10.1016/j.jinf.2022.01.021
dc.identifier.essn1532-2742
dc.identifier.pmid35105460
dc.identifier.unpaywallURLhttp://www.journalofinfection.com/article/S0163445322000214/pdf
dc.identifier.urihttp://hdl.handle.net/10668/22320
dc.issue.number5
dc.journal.titleThe Journal of infection
dc.journal.titleabbreviationJ Infect
dc.language.isoen
dc.organizationHospital Universitario Regional de Málaga
dc.page.number1
dc.provenanceRealizada la curación de contenido 27/03/2025
dc.publisherElsevier
dc.relation.publisherversionhttps://linkinghub.elsevier.com/retrieve/pii/S0163-4453(21)00452-7
dc.rights.accessRightsRestricted Access
dc.subjectProsthetic joint infection
dc.subjectInfected arthroplasty
dc.subjectBiofilm
dc.subjectForeign-boy infection
dc.subjectArthritis
dc.subject.decsInfecciones
dc.subject.decsPrótesis e Implantes
dc.subject.decsBiopelículas
dc.subject.decsArtroplastia
dc.subject.decsArticulaciones
dc.subject.decsAntibacterianos
dc.subject.meshBacteria
dc.subject.meshArthroplasty
dc.subject.meshProstheses and Implants
dc.subject.meshBiofilms
dc.subject.meshFluoroquinolones
dc.subject.meshAnti-Bacterial Agents
dc.titlePrognosis of unexpected positive intraoperative cultures in arthroplasty revision: A large multicenter cohort
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number84
dspace.entity.typePublication

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