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Infection News
Antibiotic calcium sulfate beads may not reduce recurrent prosthetic joint infections
Results showed use of antibiotic-loaded calcium sulfate beads during debridement, antibiotics and implant retention did not reduce the incidence of recurrent prosthetic joint infection at 2 years or 90 days postoperatively.
Extended oral antibiotic treatment may reduce recurrent prosthetic joint infections
Although extended oral antibiotic treatment may reduce the rate of recurrent prosthetic joint infection following two-stage exchange, it may also increase drug resistance to the antibiotic used, according to results.
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Lower prosthetic joint infection rate seen with aspirin thromboprophylaxis vs other agents
Results of a study showed aspirin was linked with lower rates of early, deep prosthetic joint infection after primary total knee arthroplasty vs. non-aspirin chemoprophylaxis, a presenter said.
Speaker: Surgeons should be mindful of contaminated gloves during infected, revision TJA
Surgical gloves are a common source of contamination in revision total joint arthroplasty cases; therefore, surgeons should consider intraoperative glove changes and thorough irrigation, according to a speaker.
Intraosseous vancomycin reduces 90-day periprosthetic joint infection rate after TKA
Intraosseous delivery of vancomycin after tourniquet inflation is safe and effective for reducing periprosthetic joint infection after primary total knee arthroplasty, according to published results.
Speaker: Consider costs, functional outcomes when selecting articulating spacers for PJI
Orthopedic surgeons should be familiar with functional outcomes, reported complications and effectiveness of different antibiotics used with articulating spacers implanted to help eradicate joint infection in patients, a presenter said.
No difference in length of stay for patients with and without COVID-19 infection history
In a large single-center study, patients with COVID-19 infection history who had elective TJR during the pandemic did not differ from patients without COVID-19 history for mean length of hospital stay or in-hospital complication rate.
Calorimetry faster than standard cultures to diagnosis fracture-related infection
Sensitivity, specificity, negative predictive value and positive predictive value for infection were better for isothermal microcalorimetry in patients with operated fractures than conventional cultures, a presenter said.
Preoperative serum albumin test may improve success of two-stage TJR exchange for PJI
Due to low serum album levels in patients who undergo two-stage exchange for infected total joint replacement, a researcher recommended routinely testing the preoperative albumin level of patients indicated for this procedure.
Orthopedic specialty hospitals are associated with lower rates of surgical site infection
Compared with tertiary care institutions, orthopedic specialty hospitals are associated with lower rates of deep surgical site infection at 1 year, according to published results.