Infection News

A 36-year-old man was referred for the management of ongoing posterior right knee pain and discomfort following a complicated surgical history for his knee. He sustained a partial tear of his right quadriceps tendon in 2003 and underwent surgical repair. In 2004, he sustained a complete retear of the same quadriceps tendon and underwent revision surgery. In 2017, he sustained another knee injury at which time he underwent arthroscopic partial medial and lateral meniscectomy.

NEW YORK — Among 75 patients who began rifampin therapy in conjunction with other medications to treat staphylococcal prosthetic joint infection, 23% were rifampin intolerant, a presenter at the Musculoskeletal Infection Society Annual Open Scientific Meeting said.

NEW YORK — Infection eradication and limited stem migration occurred at 2-year minimum follow-up in patients who underwent staged total hip arthroplasty revision due to infection using a femoral impaction bone grafting technique. The results were similar to those seen with implantation of primary cemented taper-slip prostheses, according to a presenter at the Musculoskeletal Infection Society Annual Open Scientific Meeting.

NEW YORK — According to a presenter at the Musculoskeletal Infection Society Annual Open Scientific Meeting, routine use of antibiotic-loaded bone cement in patients who underwent primary total knee arthroplasty was not cost effective. Antibiotic-loaded bone cement added $299 in costs and did not decrease the rate of periprosthetic joint infection.

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NEW YORK — There was a greater prevalence of mental health conditions among patients undergoing septic revision total knee arthroplasty compared to patients undergoing aseptic revisions or primary TKA, based on an analysis of an inpatient database for Florida and New York for the years of 2007 to 2012.

NEW YORK — Male gender, a diagnosis of diabetes and having native septic arthritis are factors that put patients with septic arthritis who undergo total joint arthroplasty at greater risk for developing prosthetic joint infection, a presenter said.

NEW YORK — Compared to the literature available about how to manage acute and chronic infection in the total joint arthroplasty, few guidelines are available to help orthopedic surgeons manage postoperative infection in spine surgery patients, an orthopedic spine surgeon said at the Musculoskeletal Infection Society Annual Open Scientific Meeting, here.

Staphylococcus aureus nasal carriage is a proven risk factor for the development of staphylococcal surgical site infections, or SSIs. S. aureus infections are associated with increased length of hospital stays, increased mortality and higher costs of medical care. Nasal colonization rates with S. aureus have been reported to reach up to 30%, with 1% to 3% having methicillin-resistant organisms.

LISBON, Portugal — Being better able to predict which patients need thromboprophylaxis following hip and knee arthroplasty is the way forward to reduce the incidence of thrombosis, according to a presentation by Banne Nemeth, MD, PhD, at the EFORT Annual Congress.