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Prospective study links asymptomatic bacteriuria, prosthetic joint infection

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Prosthetic joint infection is a devastating complication after total joint reconstruction, and orthopaedic surgeons find it useful to learn any new information about how to prevent it.

Results of a multicenter study presented this month at the EFORT Congress in London and covered in an article in the June issue of Orthopaedics Today Europe showed asymptomatic bacteriuria (ASB) was an independent risk factor of prosthetic joint infection (PJI). Investigators used cultured urine samples to identify an overall 12.1% prevalence of ASB — mainly in women — among 2,497 patients who underwent total hip arthroplasty or total knee arthroplasty. The overall PJI rate they identified in the study was 1.7%. Also, PJI rates were significantly higher in the group with ASB, according to the findings.