scholarly journals The Current State of Screening and Decolonization for the Prevention of Staphylococcus aureus Surgical Site Infection After Total Hip and Knee Arthroplasty

2015 ◽  
Vol 97 (17) ◽  
pp. 1449-1458 ◽  
Author(s):  
Mitchell C Weiser ◽  
Calin S Moucha
Keyword(s):  
Staphylococcus Aureus ◽  
Surgical Site Infection ◽  
Knee Arthroplasty ◽  
Site Infection ◽  
Total Hip ◽  
Current State ◽  
Hip And Knee Arthroplasty

Perioperative Allogeneic Red Blood-Cell Transfusion Associated with Surgical Site Infection After Total Hip and Knee Arthroplasty

2018 ◽  
Vol 100 (4) ◽  
pp. 288-294 ◽  
Author(s):  
Joshua S. Everhart ◽  
John H. Sojka ◽  
Joel L. Mayerson ◽  
Andrew H. Glassman ◽  
Thomas J. Scharschmidt
Keyword(s):  
Blood Cell ◽  
Surgical Site Infection ◽  
Knee Arthroplasty ◽  
Red Blood Cell ◽  
Red Blood Cell Transfusion ◽  
Site Infection ◽  
Total Hip ◽  
Hip And Knee Arthroplasty

Readmissions after Diagnosis of Surgical Site Infection Following Knee and Hip Arthroplasty

2014 ◽  
Vol 35 (2) ◽  
pp. 152-157 ◽  
Author(s):  
Kyle G. Miletic ◽  
Thomas N. Taylor ◽  
Emily T. Martin ◽  
Rahul Vaidya ◽  
Keith S. Kaye
Keyword(s):  
Surgical Site Infection ◽  
Hospital Stay ◽  
Knee Arthroplasty ◽  
Hip Arthroplasty ◽  
Hospital Admissions ◽  
Site Infection ◽  
Median Cost ◽  
Readmission Rates ◽  
Total Hip ◽  
Hip And Knee Arthroplasty

Context.Surgical site infection (SSI) after total hip and knee arthroplasty is a common postoperative complication. We sought to determine readmission rates and costs for total hip and knee arthroplasty complicated by SSI.Design.The Thomson Reuters MarketScan database was searched for patients who underwent knee or hip arthroplasty in 2007. From these data, patients who received a diagnosis of SSI and were readmitted after diagnosis were identified.Setting.A population of 31 to 45 million individuals receiving insurance coverage. Patients who underwent knee or hip arthroplasty who experienced a hospitalization for SSI in the year after surgery were analyzed.Outcome Measures.Total readmission rates and costs per readmission at 30, 60, and 90 days and 1 year after diagnosis of SSI.Results.Of the 76,289 case patients with hip or knee replacement in 2007, 1,026 (1.3%) had a hospitalization for SSI within the year after surgery. Among these patients, 310 (30.2%) were subsequently rehospitalized in the year after initial hospitalization specifically due to SSI-related issues. These rehospitalizations were associated with a mean hospital stay of 7.4 ± 11.4 days and a median cost of $20,001 (interquartile range [IQR], $14,057-$30,551). A total of 517 subjects had a subsequent “all-cause” hospitalization during the year after SSI. These rehospitalizations were associated with a mean hospital stay of 6.4 ± 10.4 days and a median cost of $19,870 (IQR, $13,913-$29,728).Conclusions.Readmissions during the year after SSI diagnosis accounted for 1,072 hospital admissions and cost over $25.5 million. These readmissions are costly and might be a future target for decreased reimbursement.

Impact of an Automated Surveillance to Detect Surgical-Site Infections in Patients Undergoing Total Hip and Knee Arthroplasty in Brazil

2016 ◽  
Vol 37 (8) ◽  
pp. 991-993 ◽  
Author(s):  
Luciana B. Perdiz ◽  
Deborah S. Yokoe ◽  
Guilherme H. Furtado ◽  
Eduardo A. S. Medeiros
Keyword(s):  
Retrospective Study ◽  
Surgical Site Infection ◽  
Knee Arthroplasty ◽  
Surgical Site Infections ◽  
Infect Control Hosp ◽  
Site Infection ◽  
Total Hip ◽  
Routine Surveillance ◽  
Hip And Knee Arthroplasty ◽  
Automated Surveillance

In this retrospective study, we compared automated surveillance with conventional surveillance to detect surgical site infection after primary total hip or knee arthroplasty. Automated surveillance demonstrated better efficacy than routine surveillance in SSI diagnosis, sensitivity, and predictive negative value in hip and knee arthroplasty.Infect Control Hosp Epidemiol 2016;37:991–993

POSSIBILITIES OF FORECASTING SURGICAL SITE INFECTION AFTER HIP AND KNEE REPLACEMENT

2020 ◽  
pp. 106-111
Author(s):  
Vorokov A.A. ◽  
Fadeev E.M. ◽  
Spichko A.A. ◽  
Aliev B.G. ◽  
Murzin E.A. ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Knee Replacement ◽  
Knee Arthroplasty ◽  
Site Infection ◽  
Septic Complications ◽  
Decrease Rate ◽  
Total Hip ◽  
Testing Period ◽  
Hip And Knee Arthroplasty ◽  
Prospective Research

1707 Total Hip and Knee Arthroplasty had been retrospectively analyzed for the research. All patients’ data (non-complicated post- Hip and Knee Arthroplasty (1st group - 1579 patients) and post- Hip and Knee Arthroplasty with surgical site infection in 12 months (2nd group - 128 patients)) had been used as an educational matrix for a mathematic forecast and as a construction of a prevention algorithm for septic complications in primary THA and TKA. The study had shown 14 significant criteria which can influence the occurrence of surgical site infection in THA and TKA. 12-month testing period of the software in prospective research (467 cases) had shown a significant decrease rate of surgical site infection in comparison to retrospective research (decrease of 7.5% in the prospective cases and 4.1% - in retrospective).

scholarly journals Short Operative Duration and Surgical Site Infection Risk in Hip and Knee Arthroplasty Procedures

2015 ◽  
Vol 36 (12) ◽  
pp. 1431-1436 ◽  
Author(s):  
Kristen V. Dicks ◽  
Arthur W. Baker ◽  
Michael J. Durkin ◽  
Deverick J. Anderson ◽  
Rebekah W. Moehring ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Knee Arthroplasty ◽  
Regression Models ◽  
Site Infection ◽  
Operative Duration ◽  
Binomial Regression ◽  
Hip And Knee Arthroplasty ◽  
American Society ◽  
Hip Arthroplasties ◽  
First Time

OBJECTIVETo determine the association (1) between shorter operative duration and surgical site infection (SSI) and (2) between surgeon median operative duration and SSI risk among first-time hip and knee arthroplasties.DESIGNRetrospective cohort studySETTINGA total of 43 community hospitals located in the southeastern United States.PATIENTSAdults who developed SSIs according to National Healthcare Safety Network criteria within 365 days of first-time knee or hip arthroplasties performed between January 1, 2008 and December 31, 2012.METHODSLog-binomial regression models estimated the association (1) between operative duration and SSI outcome and (2) between surgeon median operative duration and SSI outcome. Hip and knee arthroplasties were evaluated in separate models. Each model was adjusted for American Society of Anesthesiology score and patient age.RESULTSA total of 25,531 hip arthroplasties and 42,187 knee arthroplasties were included in the study. The risk of SSI in knee arthroplasties with an operative duration shorter than the 25th percentile was 0.40 times the risk of SSI in knee arthroplasties with an operative duration between the 25th and 75th percentile (risk ratio [RR], 0.40; 95% confidence interval [CI], 0.38–0.56; P<.01). Short operative duration did not demonstrate significant association with SSI for hip arthroplasties (RR, 1.04; 95% CI, 0.79–1.37; P=.36). Knee arthroplasty surgeons with shorter median operative durations had a lower risk of SSI than surgeons with typical median operative durations (RR, 0.52; 95% CI, 0.43–0.64; P<.01).CONCLUSIONSShort operative durations were not associated with a higher SSI risk for knee or hip arthroplasty procedures in our analysis.Infect. Control Hosp. Epidemiol. 2015;36(12):1431–1436

Trends in the Incidence of Surgical Site Infection in The Netherlands

2008 ◽  
Vol 29 (12) ◽  
pp. 1132-1138 ◽  
Author(s):  
Judith Manniën ◽  
Susan van den Hof ◽  
Jan Muilwijk ◽  
Peterhans J. van den Broek ◽  
Birgit van Benthem ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
The Netherlands ◽  
Surgical Site Infection ◽  
Knee Arthroplasty ◽  
Hip Arthroplasty ◽  
Surgical Procedure ◽  
Multivariate Logistic Regression Analysis ◽  
Site Infection ◽  
Surveillance Network ◽  
Total Hip

Objective.To evaluate the time trend in the surgical site infection (SSI) rate in relation to the duration of surveillance in The Netherlands.Setting.Forty-two hospitals that participated in the the Dutch national nosocomial surveillance network, which is known as PREZIES (Preventie van Ziekenhuisinfecties door Surveillance), and that registered at least 1 of the following 5 frequently performed surgical procedures for at least 3 years during the period from 1996 through 2006: mastectomy, colectomy, replacement of the head of the femur, total hip arthroplasty, or knee arthroplasty.Methods.Analyses were performed for each surgical procedure. The surveillance time to operation was stratified in consecutive 1-year periods, with the first year as reference. Multivariate logistic regression analysis was performed using a random coefficient model to adjust for random variation among hospitals. All models were adjusted for method of postdischarge surveillance.Results.The number of procedures varied from 3,031 for colectomy to 31,407 for total hip arthroplasty, and the SSI rate varied from 1.6% for knee arthroplasty to 12.2% for colectomy. For total hip arthroplasty, the SSI rate decreased significantly by 6% per year of surveillance (odds ratio [OR], 0.94 [95% confidence interval {CI}, 0.90–0.98]), indicating a 60% decrease after 10 years. Nonsignificant but substantial decreasing trends in the rate of SSI were found for replacement of the head of the femur (OR, 0.94 [95% CI, 0.88–1.00]) and for colectomy (OR, 0.92 [95% CI, 0.83–1.02]).Conclusions.Even though most decreasing trends in the SSI rate were not statistically significant, they were encouraging. To use limited resources as efficiently as possible, we would suggest switching the surveillance to another surgical procedure when the SSI rate for that particular procedure has decreased below the target rate.

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