Infection
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Internet resources relating to orthopaedic Surgical Site Infection (SSI)
[OCOSH Code: D013530 433202001 T81.4 T84 OP_CMP_SSI]
Resources
2004 Antibiotics for preventing infection in open limb fractures popular
Location: http://www.cochrane.org/reviews/en/ab003764.htmlMember Ratings:
(1 vote)
Summary: Antibiotics are effective in preventing early infection in open fractures of the limbs
Wound and bone infections are common complications following open fractures of the limbs. For more than 20 years, in developed countries, the use of antibiotics has been a part of a standard management protocol that also includes...
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View Details Visit Resource Review It Rate It Bookmark It Added: Mon Feb 04 2002
2000 Audit of Deep Wound Infection following Hip Fracture Surgery
Location: http://www.rcsed.ac.uk/journal/vol45_1/4510010.htmMember Ratings:
(1 vote)
An audit of 171 consecutive hip fractures treated surgically showed a deep wound infection rate of 3.6%. Several shortcomings in the implementation of the infection policy were identified and recommendations to eliminate them introduced. Review of the subsequent 186 patients gave a deep infection rate of 1.1%. Attention to detail...
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View Details Visit Resource Review It Rate It Bookmark It Added: Mon Jul 11 2005
2008 Antibiotic Prophylaxis in Surgery
Location: http://www.sign.ac.uk/guidelines/fulltext/104/index.html
This guideline makes recommendations on best practice in the use of peri-operative prophylactic antibiotics to prevent surgical site infections (SSI). SSI is a major cause of healthcare acquired infection.
Other areas of concern such as antibiotic allergy, cost effectiveness and meticillin-resistant Staphylococcus aureus (MRSA) are considered.
Guideline No. 104, ISBN 978 1...
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View Details Visit Resource Review It Rate It Bookmark It Added: Wed Oct 31 2007
2011 Primary pyogenic spondylitis following kyphoplasty
Location: http://www.jmedicalcasereports.com/content/5/1/101
Conclusion
Pyogenic spondylitis is an extremely rare complication after kyphoplasty. When these patients develop recurrent back pain postoperatively, the diagnosis of pyogenic spondylitis must be considered.Primary pyogenic spondylitis following kyphoplasty: a case report Markus D Schofer , Stefan Lakemeier , Christian D Peterlein , Thomas J Heyse and Markus Quante Journal...
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View Details Visit Resource Review It Rate It Bookmark It Added: Fri Apr 15 2011
2011 Team Approach Cuts Infection Risk After Orthopedic Surgery Medscape
Location: http://www.medscape.com/viewarticle/742398
May 10, 2011 (Dallas, Texas) — A multidisciplinary approach reduced the rate of deep surgical-site infections (D-SSI) in orthopedic surgeries, according to a study presented here at the Society for Healthcare Epidemiology of America 20th Annual Scientific Meeting.Joint-replacement surgeries are an increasingly common procedure, and D-SSIs cause serious morbidity, often...
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View Details Visit Resource Review It Rate It Bookmark It Added: Thu May 19 2011
Antibiotic Prophylaxis
Location: http://www.wheelessonline.com/ortho/antibiotic_prophylaxis
Perioperative Prophylactic Antibiotics:
- it is essential that antibiotics be given prior to incision;
- in most cases, patients should receive 1-2 gm of IV Ancef 30 min prior to the incision
Wheeless' Textbook of Orthopaedics
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View Details Visit Resource Review It Rate It Bookmark It Added: Mon Feb 04 2002
Debridement Alone Often No Match for Gram-Negative Prosthetic Joint Infection
Location: http://www.medscape.com/viewarticle/709668
Prosthetic joint infection resulting from Gram-negative organisms accounts for a "substantial proportion" of all episodes of prosthetic joint infection, researchers from Taiwan report in the October 1 issue of Clinical Infectious Diseases.
Debridement alone often fails to clear these infections "and should not be attempted when the duration of symptoms is...
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View Details Visit Resource Review It Rate It Bookmark It Added: Wed Oct 07 2009
Diagnosis of Early Postoperative TKA Infection Using Synovial Fluid Analysis
Location: http://www.springerlink.com/content/j8368j0m4x886g84/fulltext.html
Questions/purposes
We evaluated the diagnostic performance of four common laboratory tests, the synovial white blood cell count, differential, C-reactive protein, and erythrocyte sedimentation rate to detect infection in the first 6 weeks after primary TKA.Conclusions With a cutoff of 27,800 cells/μL, synovial white blood cell count predicted infection...
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View Details Visit Resource Review It Rate It Bookmark It Added: Tue Dec 28 2010
Diagnosis of Periprosthetic Joint Infections of the Hip and Knee JAAOS
Location: http://www.jaaos.org/cgi/content/full/18/12/760
Abstract No preferred test for diagnosis of periprosthetic joint infection exists, and the algorithm for the workup of patients suspected of infection remains unclear. The work group evaluated the available literature to determine the role of each diagnostic modality and devise a practical algorithm that allows physicians to reach diagnosis...
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- OCOSH Classification: Orthopaedic Procedures: Arthroplasty: Replacement Arthroplasty: Hip Replacement Arthroplasty
- OCOSH Classification: Orthopaedic Procedures: Arthroplasty: Replacement Arthroplasty: Knee Replacement Arthroplasty
- OCOSH Classification: Orthopaedic Procedures: Complications: Infection
- OCOSH Classification: Orthopaedic Procedures: Arthroplasty: Replacement Arthroplasty: Knee Replacement Arthroplasty
- OCOSH Classification: Orthopaedic Procedures: Complications: Infection
View Details Visit Resource Review It Rate It Bookmark It Added: Thu Mar 17 2011
Does Perioperative Oxygen Reduce Surgical Wound Infections Medscape
Location: http://www.medscape.com/viewarticle/705754
Comment on methodological weaknees of the article from Arch Surg. 2009;144:359-366 which has the following summary.The authors carried out a meta-analysis based on 5 randomized controlled trials discovered after searching> 2000 reports. Of these 5 studies, 3 included only patients undergoing colorectal surgery. Oxygen concentration was 80% in the...
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View Details Visit Resource Review It Rate It Bookmark It Added: Wed Jul 22 2009
Fate of Two-stage Reimplantation After Failed Irrigation and Débridement for Periprosthetic Knee Infection
Location: http://www.springerlink.com/content/557248l10g1u5405/fulltext.html
Questions/purposes
We determined the rerevision rate due to infection after two-stage reimplantation performed for failed irrigation and débridement of infected TKA.Conclusions The failure rate in this series of two-stage revisions for periprosthetic knee infection in patients treated with previous irrigation and débridement is considerably higher than previously reported...
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View Details Visit Resource Review It Rate It Bookmark It Added: Tue Dec 28 2010
Infection- Rheumatoid MCP implant infections seeded from chronic distant abscess
Location: http://www.e-hand.com/img/img00049.htm
Infections seeding implants are uncommon. In this case, a patient with rheumatoid arthritis and silastic metacarpophalangeal joint replacements developed infections of her implants associated with a calf abscess developing from a puncture wound of the sole of the foot. This patient had the implant surgery done elsewhere, and had done...
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View Details Visit Resource Review It Rate It Bookmark It Added: Thu Jan 31 2002
Intramedullary Arthrodesis of the Knee in the Treatment of Sepsis After TKR
Location: http://www.ncbi.nlm.nih.gov:80/pmc/articles/PMC2504091/
A review of infections following TKR treated at two joint replacement centers identified 29 cases of resistant knee sepsis treated with a long intramedullary fusion nail. Clinical outcome and radiographs were reviewed at an average follow-up of 48 monthsIntramedullary arthrodesis is a viable treatment for refractory infection after TKR. Patients...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009
Knee arthrodesis using a unilateral external fixator for the treatment of infectious sequelae
Location: http://www.aott.org.tr/index.php/aott/article/viewFile/2875/1000
Objectives: We evaluated the results of arthrodesis using a monolateral external fixator for the treatment of septic sequelae of the knee joint.Conclusion: Knee arthrodesis using a monolateral external fixator is associated with a high fusion rate and a low complication rate, and provides a more comfortable treatment option compared to...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009
Methicillin-resistant Staphylococcus aureus in TKA Treated With Revision and Direct Intraarticular Antibiotic Infusion
Location: http://www.springerlink.com/content/k295237836202064/fulltext.html
Questions/purposes
We asked whether single-stage revision and direct antibiotic infusion for infected TKA would control infection in patients with methicillin-resistant Staphylococcus aureus (MRSA) infections.Conclusions One-stage revision and 6 weeks of intraarticular vancomycin administration controlled infection in MRSA infected TKA with no apparent complications.
Methicillin-resistant Staphylococcus aureus in TKA Treated...
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View Details Visit Resource Review It Rate It Bookmark It Added: Tue Dec 28 2010
