Extended Oral Antibiotic Prophylaxis After Aseptic Revision Total Hip Arthroplasty: Does It Decrease Infection Risk?

Autor: Brandon R. Bukowski, Aaron R. Owen, Travis W. Turner, Kristin M. Fruth, Douglas R. Osmon, Mark W. Pagnano, Daniel J. Berry, Matthew P. Abdel
Rok vydání: 2022
Předmět:
Zdroj: The Journal of Arthroplasty. 37:2460-2465
ISSN: 0883-5403
DOI: 10.1016/j.arth.2022.06.023
Popis: Extended oral antibiotic prophylaxis (EOA) has been shown to reduce infection after high-risk primary total hip arthroplasties (THAs) and reimplantations. However, data are limited regarding EOA after aseptic revision THAs. This study evaluated the impact of EOA on infection-related outcomes after aseptic revision THAs.We retrospectively identified 1,107 aseptic revision THAs performed between 2014 and 2019. Patients who received EOA24 hours perioperatively (n = 370) were compared to those who did not (n = 737) using an inverse probability of treatment weighting model. Their mean age was 65 years (range, 19-98 years), mean body mass index was 30 kg/mThe cumulative probability of any infection after aseptic revision THA was 2.3% at 90 days, 2.7% at 1 year, and 3.5% at 5 years. The cumulative probability of PJI was 1.7% at 90 days, 2.1% at 1 year, and 2.8% at 5 years. There was a trend toward an increased risk of any infection (hazards ratio [HR] = 2.6; P = .058), PJI (HR = 2.6; P = .085), and re-revision (HR = 6.5; P = .077) or reoperation (HR = 2.3; P = .095) for infection in patients who did not have EOA at the final clinical follow-up.EOA after aseptic revision THA was not associated with a statistically significant decreased risk of any infection, PJI, or re-revision or reoperation for infection at all time points.Level III.
Databáze: OpenAIRE