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Internet resources relating to orthopaedic Surgical Site Infection (SSI)
[OCOSH Code: D013530 433202001 T81.4 T84 OP_CMP_SSI]

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2004 Antibiotics for preventing infection in open limb fractures popular

Location: http://www.cochrane.org/reviews/en/ab003764.html

Member Ratings: 6 out of 10 stars (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.htm

Member Ratings: 1 out of 10 stars (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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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 months
Intramedullary 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

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