Article
Public, Environmental & Occupational Health
Kwadwo Mponponsuo, Jenine Leal, Shannon Puloski, Derek Chew, Swati Chavda, Flora Au, Elissa Rennert-May
Summary: The study evaluated the cost of 1-stage and 2-stage revisions, debridement, antibiotic and implant retention for complex surgical site infections following hip and knee replacements. Results showed that the medical costs were highest at 12 months, with age and chronic complications impacting cost increases. Further research is needed to explore the correlation between surgical outcomes and costs to improve patient care.
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
(2022)
Article
Public, Environmental & Occupational Health
Samantha Simon, Brian Hollenbeck
Summary: This retrospective cohort study identified risk factors for surgical site infection (SSI) in patients with hip and knee arthroplasty. Active smoking and revision arthroplasty both increased the risk of SSI. Former smokers had a lower risk of SSI, suggesting the potential benefit of implementing mandatory smoking cessation programs.
AMERICAN JOURNAL OF INFECTION CONTROL
(2022)
Review
Dermatology
Yoey Gwan Venise Hon, Daniel Demant, Joanne Travaglia
Summary: This systematic review analyzed peer-reviewed literature from 2010 to 2020 to explore the healthcare costs, hidden out-of-pocket expenses, and quality of life impact of surgical site infections (SSIs), aiming to provide a comprehensive understanding of the burden on patients. Results showed that SSI significantly affects patients' treatment experience and quality of life. By understanding the burden associated with SSI, more effective strategies can be developed to mitigate its financial and well-being consequences. The review focused on adult populations undergoing orthopedic elective hip and knee surgeries in high-income countries, using a search strategy based on MESH and CINAHL terms.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Dermatology
Zhizhuo Li, Xingquan Xu, Zaikai Zhuang, Jun Lu, Fuqiang Gao, Qing Jiang
Summary: This systematic review and meta-analysis aimed to compare the incidence of surgical site infections (SSIs) after knee or hip arthroplasty under spinal anesthesia (SA) versus general anesthesia (GA). The results showed that SA significantly reduced the risk of SSIs compared to GA in knee or hip arthroplasty.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Public, Environmental & Occupational Health
Guosong Wu, Cheligeer Cheligeer, Danielle A. Southern, Elliot A. Martin, Yuan Xu, Jenine Leal, Jennifer Ellison, Kathryn Bush, Tyler Williamson, Hude Quan, Cathy A. Eastwood
Summary: This study developed and validated machine learning models to automate the detection of complex SSIs, achieving high performance using administrative data and EMR text data. The optimal model had a ROC AUC of 0.906, PR AUC of 0.637, and F1 score of 0.79.
ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
(2023)
Article
Dermatology
Jiwen Zhu, Mengdi Si, Zongqiang Huang
Summary: The meta-analysis aims to evaluate and compare the impact of tobacco usage on surgical site wound problems (SSWPs) after primary total hip and total knee arthroplasty (PTH & TKA). A total of 15 studies from 2001 to 2023 were analyzed, including 560,819 individuals with PTH & TKA. The results showed that smokers had significantly higher SSWPs compared with non-smokers in this population.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Public, Environmental & Occupational Health
Jennifer J. R. Ellison, Lesia R. Boychuk, David Chakravorty, A. Uma Chandran, John M. Conly, Andrea Howatt, Joseph Kim, Stacey Litvinchuk, Arun Pokhrel, Ye Shen, Christopher Smith, Kathryn Bush
Summary: The study compares the impact of different data collection methods on reported rates of surgical site infections (SSIs) by comparing the data from the Alberta Health Services Infection Prevention and Control Program (IPC) and the National Surgical Quality Improvement Program (NSQIP). It found that different approaches to monitoring SSIs may lead to different results and trends.
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
(2022)
Article
Dermatology
Haihong Li, Yina Li, Danhua Wang, Qiuli Huang, Dandan Liu
Summary: This research aimed to identify the risk factors associated with surgical site infections (SSIs) after total knee arthroplasty (TKA) in elderly osteoarthritis patients, in order to improve post-surgical outcomes. The study found that age, BMI, smoking history, and diabetes diagnosis were significant risk factors for post-TKA infections. Other factors such as ASA classification, surgical duration, and intraoperative hemorrhage also contributed to the risk landscape.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Public, Environmental & Occupational Health
A. Ismail, J. Leal, F. Au, S. Puloski, K. Mponponsuo, S. Smith, E. Rennert-May
Summary: This study provides insights into the surgical management of SSI after primary total hip or knee arthroplasty in a large cohort, showing that DAIR treatment can cure a certain percentage of SSIs, but DAIR performed 31-90 days after arthroplasty has a lower chance of cure, and initial treatment failures requiring additional surgery have a lower cure rate.
JOURNAL OF HOSPITAL INFECTION
(2022)
Article
Orthopedics
Jesus M. Villa, Tejbir S. Pannu, Ibrahim Theeb, Martin A. Buttaro, Jose Onativia, Lisandro Carbo, Daniel H. Rienzi, Jose Fregeiro, Nikolai N. Kornilov, Svetlana A. Bozhkova, Nemandra A. Sandiford, Nicolas S. Piuzzi, Carlos A. Higuera, Daniel O. Kendoff
Summary: The most common pathogens for periprosthetic joint infections were Staphylococcus aureus and Staphylococcus epidermidis. The US and the UK had the lowest rates of resistant organisms, while Germany and Russia had the highest. The UK and Uruguay had the lowest rates of polymicrobial infections.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Multidisciplinary Sciences
Mateusz Gajda, Paulina Gajda, Agnieszka Pac, Barbara Gryglewska, Marcin Wojnarski, Anna Rozanska, Inga Lipinska-Tobiasz, Jadwiga Wojkowska-Mach
Summary: This study investigated the incidence and risk factors of post-discharge surgical site infections (SSI). The results showed that male gender, comorbidities, ICU stay, and antibiotics administered at discharge significantly increased the risk of SSI. Rehabilitation after surgery and the use of total endoprosthesis decreased the incidence of SSIs.
SCIENTIFIC REPORTS
(2023)
Article
Orthopedics
Robert A. McCulloch, Antony J. Palmer, James Donaldson, Benjamin J. Kendrick, Jonathan Miles, Adrian Taylor
Summary: This study retrospectively analyzed patients with fungal periprosthetic joint infection (PJI) who underwent revision surgery at two high-volume arthroplasty centers. The study found that less than half of the patients achieved eradication of fungal PJI, and the outcomes were comparable for total knee arthroplasty (TKA) and total hip arthroplasty (THA). Most patients with fungal PJI presented with open wounds or a history of sinus disease.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Mitchell K. Ng, Adam M. Gordon, Aaron Lam, Nicolas Piuzzi, Orry Erez, Giles Scuderi, Michael A. Mont
Summary: This study aimed to investigate surgical trends in the management of knee osteonecrosis (ON). The results showed that overall surgical volume for knee ON has been increasing, with younger patients (<50 years) more commonly undergoing joint-preserving procedures, while older patients (>50 years) more commonly undergoing arthroplasty procedures.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Health Care Sciences & Services
Lieke Sweerts, Pepijn W. Dekkers, Philip J. van der Wees, Job L. C. van Susante, Lex D. de Jong, Thomas J. Hoogeboom, Sebastiaan A. W. van de Groes
Summary: This study aimed to externally validate four previously developed models for the prediction of surgical complications after primary THA and TKA. The results showed low predictive accuracy for all models except the model for delirium. Therefore, the simple and straightforward delirium model is recommended for use by clinicians during preoperative counseling, shared decision-making, and early delirium precautionary interventions.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Orthopedics
Bernhard J. H. Frank, Alexander Aichmair, Sebastian Simon, Gilbert M. Schwarz, Martin Dominkus, Jochen G. Hofstaetter
Summary: This study found that a positive microbiological result at reimplantation may lead to a failed 2-stage revision arthroplasty, with changes in microbiological spectrum and resistance pattern between culture positive first and second stage procedures. This needs to be considered in the antimicrobial treatment of periprosthetic joint infections.
JOURNAL OF ARTHROPLASTY
(2021)