Could irrigation, debridement and antibiotic therapy cure an infection of a total hip arthroplasty?
Seven patients suffering from an acute (less than two weeks) infection of a total hip arthroplasty were treated by irrigation and debridement, with appropriate antibiotic therapy and retention of the prosthesis. They were followed for an average of 30 months. Infection did not recur in five (71%) pa...
Gespeichert in:
| Veröffentlicht in: | The Journal of hospital infection 2001-03, Vol.47 (3), p.235-238 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 238 |
|---|---|
| container_issue | 3 |
| container_start_page | 235 |
| container_title | The Journal of hospital infection |
| container_volume | 47 |
| creator | Krasin, E. Goldwirth, M. Hemo, Y. Gold, A. Herling, G. Otremski, I. |
| description | Seven patients suffering from an acute (less than two weeks) infection of a total hip arthroplasty were treated by irrigation and debridement, with appropriate antibiotic therapy and retention of the prosthesis. They were followed for an average of 30 months. Infection did not recur in five (71%) patients, but the other two required further surgery. We conclude that a cure can be obtained by this method, although the results are inferior to re-implantation. A minimal procedure spares a patient the morbidity and cost of a more extensive operation. Higher success rates might have been achieved by selecting patients infected with organisms of low virulence, but there are insufficient data to predict whether this treatment would decrease the success of subsequent re-implantation. |
| doi_str_mv | 10.1053/jhin.2000.0809 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_76973857</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0195670100908090</els_id><sourcerecordid>76973857</sourcerecordid><originalsourceid>FETCH-LOGICAL-c397t-c83945cd89a417451e966f71b2058cfc3f6ea48e7051be46b08ee1d1c64d25123</originalsourceid><addsrcrecordid>eNp1kMGr1DAQh4Movn1Prx4lIHiya9I0TXISWfQpPPCi55AmU3ce3aYmqbD_vSm76MnDMDB8v2HmI-QVZ3vOpHj_eMR53zLG9kwz84TsuBRt0xphnpId40Y2vWL8htzm_FipOpfPyQ3nbad6LXfEH-I6BYop4U9XMM7vaIAhYYATzIW6OdQqOGAs6Gk5QnLLmfo1QZ1TnEfwW4rGkTpaYnETPeJCXSrHFJfJ5XL-8II8G92U4eW135Efnz99P3xpHr7dfz18fGi8MKo0XgvTSR-0cR1XneRg-n5UfGiZ1H70YuzBdRoUk3yArh-YBuCB-74LreStuCNvL3uXFH-tkIs9YfYwTW6GuGareqOElqqC-wvoU8w5wWiXhCeXzpYzu2m1m1a7abWb1hp4fd28DicI__Crxwq8uQIuezeNyc0e81_O1HcEr5S-UFAt_EZINnuE2UPAVD3aEPF_F_wBLnWT2g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>76973857</pqid></control><display><type>article</type><title>Could irrigation, debridement and antibiotic therapy cure an infection of a total hip arthroplasty?</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Krasin, E. ; Goldwirth, M. ; Hemo, Y. ; Gold, A. ; Herling, G. ; Otremski, I.</creator><creatorcontrib>Krasin, E. ; Goldwirth, M. ; Hemo, Y. ; Gold, A. ; Herling, G. ; Otremski, I.</creatorcontrib><description>Seven patients suffering from an acute (less than two weeks) infection of a total hip arthroplasty were treated by irrigation and debridement, with appropriate antibiotic therapy and retention of the prosthesis. They were followed for an average of 30 months. Infection did not recur in five (71%) patients, but the other two required further surgery. We conclude that a cure can be obtained by this method, although the results are inferior to re-implantation. A minimal procedure spares a patient the morbidity and cost of a more extensive operation. Higher success rates might have been achieved by selecting patients infected with organisms of low virulence, but there are insufficient data to predict whether this treatment would decrease the success of subsequent re-implantation.</description><identifier>ISSN: 0195-6701</identifier><identifier>EISSN: 1532-2939</identifier><identifier>DOI: 10.1053/jhin.2000.0809</identifier><identifier>PMID: 11247685</identifier><language>eng</language><publisher>Kent: Elsevier Ltd</publisher><subject>Anti-Bacterial Agents - therapeutic use ; Arthroplasty, Replacement, Hip ; Bacterial arthritis and osteitis ; Bacterial diseases ; Biological and medical sciences ; Cross Infection - microbiology ; Cross Infection - therapy ; Debridement ; Female ; Human bacterial diseases ; Humans ; Infection ; Infectious diseases ; Male ; Medical sciences ; Postoperative Care ; Reoperation ; Surgical Wound Infection - classification ; Surgical Wound Infection - microbiology ; Surgical Wound Infection - therapy ; Therapeutic Irrigation ; total hip arthroplasty ; treatment ; Treatment Outcome</subject><ispartof>The Journal of hospital infection, 2001-03, Vol.47 (3), p.235-238</ispartof><rights>2001 The Hospital Infection Society</rights><rights>2001 INIST-CNRS</rights><rights>Copyright 2001 The Hospital Infection Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-c83945cd89a417451e966f71b2058cfc3f6ea48e7051be46b08ee1d1c64d25123</citedby><cites>FETCH-LOGICAL-c397t-c83945cd89a417451e966f71b2058cfc3f6ea48e7051be46b08ee1d1c64d25123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/jhin.2000.0809$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=974531$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11247685$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krasin, E.</creatorcontrib><creatorcontrib>Goldwirth, M.</creatorcontrib><creatorcontrib>Hemo, Y.</creatorcontrib><creatorcontrib>Gold, A.</creatorcontrib><creatorcontrib>Herling, G.</creatorcontrib><creatorcontrib>Otremski, I.</creatorcontrib><title>Could irrigation, debridement and antibiotic therapy cure an infection of a total hip arthroplasty?</title><title>The Journal of hospital infection</title><addtitle>J Hosp Infect</addtitle><description>Seven patients suffering from an acute (less than two weeks) infection of a total hip arthroplasty were treated by irrigation and debridement, with appropriate antibiotic therapy and retention of the prosthesis. They were followed for an average of 30 months. Infection did not recur in five (71%) patients, but the other two required further surgery. We conclude that a cure can be obtained by this method, although the results are inferior to re-implantation. A minimal procedure spares a patient the morbidity and cost of a more extensive operation. Higher success rates might have been achieved by selecting patients infected with organisms of low virulence, but there are insufficient data to predict whether this treatment would decrease the success of subsequent re-implantation.</description><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Arthroplasty, Replacement, Hip</subject><subject>Bacterial arthritis and osteitis</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Cross Infection - microbiology</subject><subject>Cross Infection - therapy</subject><subject>Debridement</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infection</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Postoperative Care</subject><subject>Reoperation</subject><subject>Surgical Wound Infection - classification</subject><subject>Surgical Wound Infection - microbiology</subject><subject>Surgical Wound Infection - therapy</subject><subject>Therapeutic Irrigation</subject><subject>total hip arthroplasty</subject><subject>treatment</subject><subject>Treatment Outcome</subject><issn>0195-6701</issn><issn>1532-2939</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMGr1DAQh4Movn1Prx4lIHiya9I0TXISWfQpPPCi55AmU3ce3aYmqbD_vSm76MnDMDB8v2HmI-QVZ3vOpHj_eMR53zLG9kwz84TsuBRt0xphnpId40Y2vWL8htzm_FipOpfPyQ3nbad6LXfEH-I6BYop4U9XMM7vaIAhYYATzIW6OdQqOGAs6Gk5QnLLmfo1QZ1TnEfwW4rGkTpaYnETPeJCXSrHFJfJ5XL-8II8G92U4eW135Efnz99P3xpHr7dfz18fGi8MKo0XgvTSR-0cR1XneRg-n5UfGiZ1H70YuzBdRoUk3yArh-YBuCB-74LreStuCNvL3uXFH-tkIs9YfYwTW6GuGareqOElqqC-wvoU8w5wWiXhCeXzpYzu2m1m1a7abWb1hp4fd28DicI__Crxwq8uQIuezeNyc0e81_O1HcEr5S-UFAt_EZINnuE2UPAVD3aEPF_F_wBLnWT2g</recordid><startdate>20010301</startdate><enddate>20010301</enddate><creator>Krasin, E.</creator><creator>Goldwirth, M.</creator><creator>Hemo, Y.</creator><creator>Gold, A.</creator><creator>Herling, G.</creator><creator>Otremski, I.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010301</creationdate><title>Could irrigation, debridement and antibiotic therapy cure an infection of a total hip arthroplasty?</title><author>Krasin, E. ; Goldwirth, M. ; Hemo, Y. ; Gold, A. ; Herling, G. ; Otremski, I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-c83945cd89a417451e966f71b2058cfc3f6ea48e7051be46b08ee1d1c64d25123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Arthroplasty, Replacement, Hip</topic><topic>Bacterial arthritis and osteitis</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Cross Infection - microbiology</topic><topic>Cross Infection - therapy</topic><topic>Debridement</topic><topic>Female</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infection</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Postoperative Care</topic><topic>Reoperation</topic><topic>Surgical Wound Infection - classification</topic><topic>Surgical Wound Infection - microbiology</topic><topic>Surgical Wound Infection - therapy</topic><topic>Therapeutic Irrigation</topic><topic>total hip arthroplasty</topic><topic>treatment</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krasin, E.</creatorcontrib><creatorcontrib>Goldwirth, M.</creatorcontrib><creatorcontrib>Hemo, Y.</creatorcontrib><creatorcontrib>Gold, A.</creatorcontrib><creatorcontrib>Herling, G.</creatorcontrib><creatorcontrib>Otremski, I.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hospital infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krasin, E.</au><au>Goldwirth, M.</au><au>Hemo, Y.</au><au>Gold, A.</au><au>Herling, G.</au><au>Otremski, I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Could irrigation, debridement and antibiotic therapy cure an infection of a total hip arthroplasty?</atitle><jtitle>The Journal of hospital infection</jtitle><addtitle>J Hosp Infect</addtitle><date>2001-03-01</date><risdate>2001</risdate><volume>47</volume><issue>3</issue><spage>235</spage><epage>238</epage><pages>235-238</pages><issn>0195-6701</issn><eissn>1532-2939</eissn><abstract>Seven patients suffering from an acute (less than two weeks) infection of a total hip arthroplasty were treated by irrigation and debridement, with appropriate antibiotic therapy and retention of the prosthesis. They were followed for an average of 30 months. Infection did not recur in five (71%) patients, but the other two required further surgery. We conclude that a cure can be obtained by this method, although the results are inferior to re-implantation. A minimal procedure spares a patient the morbidity and cost of a more extensive operation. Higher success rates might have been achieved by selecting patients infected with organisms of low virulence, but there are insufficient data to predict whether this treatment would decrease the success of subsequent re-implantation.</abstract><cop>Kent</cop><pub>Elsevier Ltd</pub><pmid>11247685</pmid><doi>10.1053/jhin.2000.0809</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0195-6701 |
| ispartof | The Journal of hospital infection, 2001-03, Vol.47 (3), p.235-238 |
| issn | 0195-6701 1532-2939 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_76973857 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Anti-Bacterial Agents - therapeutic use Arthroplasty, Replacement, Hip Bacterial arthritis and osteitis Bacterial diseases Biological and medical sciences Cross Infection - microbiology Cross Infection - therapy Debridement Female Human bacterial diseases Humans Infection Infectious diseases Male Medical sciences Postoperative Care Reoperation Surgical Wound Infection - classification Surgical Wound Infection - microbiology Surgical Wound Infection - therapy Therapeutic Irrigation total hip arthroplasty treatment Treatment Outcome |
| title | Could irrigation, debridement and antibiotic therapy cure an infection of a total hip arthroplasty? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T00%3A59%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Could%20irrigation,%20debridement%20and%20antibiotic%20therapy%20cure%20an%20infection%20of%20a%20total%20hip%20arthroplasty?&rft.jtitle=The%20Journal%20of%20hospital%20infection&rft.au=Krasin,%20E.&rft.date=2001-03-01&rft.volume=47&rft.issue=3&rft.spage=235&rft.epage=238&rft.pages=235-238&rft.issn=0195-6701&rft.eissn=1532-2939&rft_id=info:doi/10.1053/jhin.2000.0809&rft_dat=%3Cproquest_cross%3E76973857%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=76973857&rft_id=info:pmid/11247685&rft_els_id=S0195670100908090&rfr_iscdi=true |