Prosthetic joint infection: A pluridisciplinary multi-center audit bridging quality of care and outcome
| Autor: | Réso-Infectio-Paca-Est, P. Brofferio, Pierre-Marie Roger, B. Redréau, J. Tabutin, E. Bernard, F. Léculé, V. Blanc, S. Léotard |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Prosthesis-Related Infections Comorbidity Audit Pharmacotherapy Drug Resistance Multiple Bacterial Internal medicine Intensive care Health care medicine Humans Surgical Wound Infection Quality of care Device Removal Aged Quality of Health Care Patient Care Team Arthritis Infectious Medical Audit Univariate analysis business.industry Prosthetic joint infection Length of Stay Middle Aged Combined Modality Therapy Anti-Bacterial Agents Surgery Treatment Outcome Infectious Diseases Debridement Medicine Female France Hip Prosthesis Knee Prosthesis business Hospital stay |
| Zdroj: | Médecine et Maladies Infectieuses. 45:229-236 |
| ISSN: | 0399-077X |
| Popis: | Background Care to patients with prosthetic joint infections (PJI) is provided after pluridisciplinary collaboration, in particular for complex presentations. Therefore, to carry out an audit in PJI justifies using pluridisciplinary criteria. We report an audit for hip or knee PJI, with emphasis on care homogeneity, length of hospital stay (LOS) and mortality. Patients and methods Fifteen criteria were chosen for quality of care: 5 diagnostic tools, 5 therapeutic aspects, and 5 pluridisciplinary criteria. Among these, 6 were chosen: surgical bacterial samples, surgical strategy, pluridisciplinary discussion, antibiotic treatment, monitoring of antibiotic toxicity, and prevention of thrombosis. They were scored on a scale to 20 points. We included PJI diagnosed between 2010 and 2012 from 6 different hospitals. PJI were defined as complex in case of severe comorbid conditions or multi-drug resistant bacteria, or the need for more than 1 surgery. Results Eighty-two PJI were included, 70 of which were complex (85%); the median score was 15, with a significant difference among hospitals: from 9 to 17.5 points, P |
| Databáze: | OpenAIRE |
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