[Microbiological analysis of late infected hip arthroplasty in 62 cases].
| Autor: | Lu XC; Department of Orthopedic Surgery, General Hospital of Chinese PLA, Beijing 100853, China., Zhou YG, Wang Y |
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| Jazyk: | čínština |
| Zdroj: | Zhonghua yi xue za zhi [Zhonghua Yi Xue Za Zhi] 2011 Jul 05; Vol. 91 (25), pp. 1762-5. |
| Abstrakt: | Objective: To review the type and number of pathogens and their antibiotic sensitivity in patients with late infected total joint replacement so as to offer guidance for the choice of antibiotics. Methods: A retrospective analysis was conducted for 62 patients whose suspected specimens were obtained intra-operatively during a total hip arthroplasty since January 2002 to August 2010 at our department. Their demographic data, bacterial species and antibiotic sensitivity profiles were recorded. Results: Among 62 cases, the cultures were tested positive in 48 cases; the most common bacteria was Gram-positive bacteria (74%). And coagulase-negative staphylococci and Staphylococcus aureus accounted for 62.9% of all bacterial cultures. And the ratio of methicillin-resistant Staphylococcus was 41.18%. Conclusion: The late infection of total hip arthroplasty is mainly caused by Gram-positive bacteria. Antibiotic treatment for late periprosthetic infection should be guided by the findings of drug susceptibility. Vancomycin may be used as a primary agent for the treatment of infected hip arthroplasty. |
| Databáze: | MEDLINE |
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