Articles | Volume 7, issue 4
https://doi.org/10.5194/jbji-7-143-2022
https://doi.org/10.5194/jbji-7-143-2022
Original full-length article
 | 
06 Jul 2022
Original full-length article |  | 06 Jul 2022

Higher 1-year risk of implant removal for culture-positive than for culture-negative DAIR patients following 359 primary hip or knee arthroplasties

Joyce van Eck, Wai-Yan Liu, Jon H. M. Goosen, Wim H. C. Rijnen, Babette C. van der Zwaard, Petra Heesterbeek, Walter van der Weegen, and the further members of Regional Prosthetic Joint Infection Group

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Cited articles

Alvi, H. M., Mednick, R. E., Krishnan, V., Kwasny, M. J., Beal, M. D., and Manning, D. W.: The Effect of BMI on 30 Day Outcomes Following Total Joint Arthroplasty, J. Arthroplasty, 30, 1113–1117​​​​​​​, https://doi.org/10.1016/j.arth.2015.01.049, 2015. 
Barros, L. H., Barbosa, T. A., Esteves, J., Abreu, M., Soares, D., and Sousa, R.: Early Debridement, antibiotics and implant retention (DAIR) in patients with suspected acute infection after hip or knee arthroplasty - safe, effective and without negative functional impact, J. Bone Joint Infect., 4, 300–305, https://doi.org/10.7150/jbji.39168, 2019. 
Bergkvist, M., Mukka, S. S., Johansson, L., Ahl, T. E., Sayed-Noor, A. S., Skoldenberg, O. G., and Eisler, T.: Debridement, antibiotics and implant retention in early periprosthetic joint infection, Hip Int., 26, 138–143, https://doi.org/10.5301/hipint.5000328, 2016. 
Edwards, J. R., Peterson, K. D., Mu, Y., Banerjee, S., Allen-Bridson, K., Morrell, G., Dudeck, M., Pollock, D.A., and Horan, T. C.: National Healthcare Safety Network (NHSN) report: data summary for 2006 through 2008, issued December 2009, Am. J. Infect. Control, 37, 783–805, https://doi.org/10.1016/j.ajic.2009.10.001, 2009. 
Jacobs, A. M.E., Valkering, L. J.J., Bénard, M., Meis, J. F., and Goosen, J. H.M.: Evaluation One Year after DAIR Treatment in 91 Suspected Early Prosthetic Joint Infections in Primary Knee and Hip Arthroplasty, J. Bone Joint Infect., 4, 238–244, https://doi.org/10.7150/jbji.37757, 2019. 
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Short summary
Patients who receive joint replacement surgery might suffer from infection, which usually requires another surgery to clean the prosthesis and remove infected tissue. This tissue is analysed for bacteria in order to start appropriate antibiotic therapy. Bacteria are not always found, calling the appropriateness of the second surgery into question. We compared the treatment outcome in a large group of culture-positive and culture-negative patients and noticed a better outcome in the latter group.