| Literature DB >> 21621955 |
Susan M Odum1, Thomas K Fehring, Adolph V Lombardi, Ben M Zmistowski, Nicholas M Brown, Jeffrey T Luna, Keith A Fehring, Erik N Hansen.
Abstract
Irrigation and debridement (I&D) is an attractive treatment alternative for periprosthetic joint infection (PJI). Irrigation and debridement failure rates average 64% (range, 10.5%-84%) and may be associated with causative organism type and virulence. The study objective was to compare revision rates for PJI caused by streptococcal organisms to other organisms treated with I&D. A multicenter retrospective cohort study of 200 consecutive PJIs treated with I&D was performed. Failure was defined as reoperation for PJI. Failure rate for streptococcal infections was 65% (20/31) compared with 71% (84/119) for other organisms. Failure rate for sensitive Staphylococcus was 72% (48/67) compared with a 76% (22/29) failure rate for resistant Staphylococcus. These results indicate that eradication rates of I&D for a streptococcal PJI are comparable with other causative organisms. Irrigation and debridement should play a limited role in the PJI treatment algorithm regardless of organism type.Entities:
Mesh：
Year: 2011 PMID： 21621955 DOI： 10.1016/j.arth.2011.03.031
Source DB: PubMed Journal: J Arthroplasty ISSN： 0883-5403 Impact factor: 4.757