Microbiological Profile of Periprosthetic Knee Infections in a Brazilian Unified Health System Hospital Specialized in Highly Complex Orthopedic Surgeries.
Alan de Paula MozellaThales Nunes de AssunçãoHugo Alexandre de Araújo Barros CobraSandra Tie Nishibe MinamotoRodrigo SalimAna Carolina LealPublished in: Revista brasileira de ortopedia (2023)
Objective We studied the microbiological profile of periprosthetic knee infections treated in a Brazilian tertiary hospital. Methods The study included all patients undergoing revision surgery for total knee arthroplasty (RTKA) between November 2019 and December 2021, with a diagnosis of periprosthetic infection confirmed per the 2018 International Consensus Meeting (ICM) criteria. Results Sixty-two patients had a periprosthetic joint infection (PJI) per the 2018 ICM criteria. Cultures were monomicrobial in 79% and polymicrobial in 21% of cases. The most frequent bacterium in microbiological tissue and synovial fluid cultures was Staphylococcus aureus , observed in 26% of PJI patients. Periprosthetic joint infection with negative cultures occurred in 23% of patients. Conclusion Our results show the following: i) a high prevalence of Staphylococcus as an etiological agent for knee PJI; ii) a high incidence of polymicrobial infections in early infections; iii) the occurrence of PJI with negative cultures in approximately one fourth of the subjects.
Keyphrases
- total knee arthroplasty
- total hip
- staphylococcus aureus
- end stage renal disease
- newly diagnosed
- ejection fraction
- patients undergoing
- total hip arthroplasty
- prognostic factors
- minimally invasive
- risk factors
- knee osteoarthritis
- peritoneal dialysis
- patient reported outcomes
- pseudomonas aeruginosa
- palliative care
- methicillin resistant staphylococcus aureus
- anterior cruciate ligament
- patient reported
- candida albicans