Articles | Volume 7, issue 6
https://doi.org/10.5194/jbji-7-279-2022
© Author(s) 2022. This work is distributed under
the Creative Commons Attribution 4.0 License.
the Creative Commons Attribution 4.0 License.
https://doi.org/10.5194/jbji-7-279-2022
© Author(s) 2022. This work is distributed under
the Creative Commons Attribution 4.0 License.
the Creative Commons Attribution 4.0 License.
Original full-length article
| 
21 Dec 2022
Original full-length article |
| 21 Dec 2022
| 21 Dec 2022
Osteosynthesis-associated infection of the lower limbs by multidrug-resistant and extensively drug-resistant Gram-negative bacteria: a multicentre cohort study
Efthymia Giannitsioti
CORRESPONDING AUTHOR
Fourth Department of Internal Medicine, University General Hospital Attikon, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Mauro José Salles
Division of Infectious Diseases, Department of Internal Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
Andreas Mavrogenis
First Department of Orthopaedics, University General Hospital Attikon, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Dolors Rodriguez-Pardo
Department of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona, Spain
Ibai Los-Arcos
Department of Infectious Diseases, Hospital Universitari Vall d'Hebron, Barcelona, Spain
Alba Ribera
Department of Infectious Diseases, Hospital Universitari Bellvitge, Barcelona, Spain
Javier Ariza
Department of Infectious Diseases, Hospital Universitari Bellvitge, Barcelona, Spain
María Dolores del Toro
Infectious Diseases Unit, Hospital Universitario Virgen Macarena, Instituto de Biomedicina de Sevilla (IBIS), Universidad de Sevilla, Seville, Spain
Sophie Nguyen
Infectious Diseases Department, Gustave Dron Hospital, Tourcoing, France
Eric Senneville
Infectious Diseases Department, Gustave Dron Hospital, Tourcoing, France
Eric Bonnet
Department of Infectious Diseases, Clinique Pasteur, Toulouse, France
Monica Chan
Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore, Singapore
Maria Bruna Pasticci
Infectious Diseases Unit, University of Perugia, Perugia, Italy
Sabine Petersdorf
Institute for Medical Laboratory Diagnostics, Helios University Clinic Wuppertal, Wuppertal, Germany
Natividad Benito
Infectious Diseases Unit, Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomèdica Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
Nuala O' Connell
Department of Clinical Microbiology, University Hospital Limerick, Limerick, Ireland
Antonio Blanco García
Bone and Joint Infection Unit, Department of Emergency Medicine, IIS-Fundación Jiménez Díaz Hospital, Madrid, Spain
Gábor Skaliczki
Department of Orthopaedics, Semmelweis University, Budapest, Hungary
Pierre Tattevin
Infectious Diseases and Intensive Care Unit, Pontchaillou University Hospital, Rennes, France
Zeliha Kocak Tufan
Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Yildirim Beyazit University, Ankara Atatürk Education and Research Hospital, Ankara, Turkey
Nikolaos Pantazis
Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Panayiotis D. Megaloikonomos
First Department of Orthopaedics, University General Hospital Attikon, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Panayiotis Papagelopoulos
First Department of Orthopaedics, University General Hospital Attikon, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
Alejandro Soriano
Department of Infectious Diseases, Hospital Clínic, Barcelona, University of Barcelona, IDIBAPS, Barcelona, Spain
Antonios Papadopoulos
Fourth Department of Internal Medicine, University General Hospital Attikon, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
A full list of authors appears at the end of the paper.
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Cited
12 citations as recorded by crossref.
- Microbiological monitoring of major pathogens in infected long bone fractures treated with external osteosynthesis A. Tsiskarashvili et al. 10.17816/vto655983
- Combating antimicrobial resistance in osteoarticular infections: Current strategies and future directions M. Jeyaraman et al. 10.1016/j.jcot.2024.102791
- Marginal bone resection and immediate internal fixation in multidrug resistant chronic septic nonunions of lower limb long bones: a case series S. Kalantar et al. 10.1007/s00264-024-06349-4
- Antimicrobial Treatment Options for Multidrug Resistant Gram-Negative Pathogens in Bone and Joint Infections M. Tsilika et al. 10.3390/pathogens14020130
- Exploring the potential of naturally occurring antimicrobials for managing orthopedic-device-related infections B. Chen et al. 10.5194/jbji-9-249-2024
- New strategies for the management of biofilms formed by Gram-negative bacteria C. Ortega-Portas & J. Esteban 10.1080/14656566.2025.2519692
- High Charlson Comorbidity Index is associated with infection and mortality following surgical treatment of elderly proximal femoral fractures L. Seriacopi et al. 10.1186/s12891-025-08849-9
- Factors affecting the course and prognosis of implant-associated infection caused by <i>Klebsiella</i> spp. O. Tufanova et al. 10.17816/2311-2905-16719
- Molecular landscape of robust membrane disruption by Janus MoSSe nanosheet J. Chen & Z. Gu 10.1016/j.colsurfb.2025.114840
- Comparative study of multidrug-resistant bacteria (MDRB) isolated from patients in different wards of a hospital during the post-COVID-19 period A. Ojha et al. 10.1016/j.microb.2025.100350
- Tigecycline Containing Polymethylmethacrylate Cement Against MRSA, VRE, and ESBL—In Vitro Mechanical and Microbiological Investigations M. Abramowicz et al. 10.3390/antibiotics13111102
- Defensive antibacterial coating in orthopaedic surgery: Current evidence and future direction R. Roberts et al. 10.5312/wjo.v16.i7.107575
Latest update: 26 Jul 2025
Short summary
Our multicentre study on a lower-limb osteosynthesis-associated infection (OAI) cohort by multidrug (MDR) and extensively drug (XDR) resistant Gram-negative bacteria found the following: implant retention with debridement was mostly performed in early OAI; 50.9 % of patients achieved remission of infection; remission reached 50 % (MDR) vs. 25 % (XDR) in early OAI and 60 % (MDR) vs. 44.4 % (XDR) in late OAI; age (> 60) and multiple surgeries were independent factors influencing lack of remission.
Our multicentre study on a lower-limb osteosynthesis-associated infection (OAI) cohort by...
