The value of bacteral culture during clean orthopedic surgery: A prospective study of 1,036 patients

Infection Control and Hospital Epidemiology

Volumn 25, Issue 6, 2004, Pages 512-514

  Bernard, Louis ^a,b,c,d   Sadowski, Christophe ^a   Monin, Daniel ^a   Stern, Richard ^a   Wyssa, Blaise ^a   Rohner, Peter ^b   Lew, Daniel ^b,c   Hoffmeyer, Pierre ^a  

^a Orthopaedic Clinic   (Switzerland)

^b Department of Microbiology ^*  (Switzerland)

^c GENEVA UNIVERSITY HOSPITALS   (Switzerland)

^d RAYMOND POINCARÉ HOSPITAL   (France)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIINFECTIVE AGENT; CEFUROXIME; VANCOMYCIN;

ADULT; ARTICLE; BACTERIUM CULTURE; DIAGNOSTIC VALUE; EVALUATION; HUMAN; MAJOR CLINICAL STUDY; ORTHOPEDIC SURGERY; POSTOPERATIVE INFECTION; PREDICTION; PROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; WOUND CARE; ADOLESCENT; AGED; ANTIBIOTIC PROPHYLAXIS; ANTIBIOTIC RESISTANCE; BACTERIAL COUNT; BACTERIAL INFECTION; CLASSIFICATION; FEMALE; INTRAOPERATIVE PERIOD; MALE; MICROBIOLOGY; MIDDLE AGED; RISK ASSESSMENT; SURGICAL INFECTION; SWITZERLAND;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANTIBIOTIC PROPHYLAXIS; BACTERIAL INFECTIONS; COLONY COUNT, MICROBIAL; DRUG RESISTANCE, BACTERIAL; FEMALE; HUMANS; INTRAOPERATIVE PERIOD; MALE; MIDDLE AGED; ORTHOPEDIC PROCEDURES; PROSPECTIVE STUDIES; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; SURGICAL WOUND INFECTION; SWITZERLAND;

EID: 2942620012     PISSN: 0899823X     EISSN: None     Source Type: Journal    
DOI: 10.1086/502431     Document Type: Article

References (12)

1. Lindgren U, Elmros T, Holm SE. Bacteria in hip surgery: a study of routine aerobic and anaerobic cultivation from skin and closed suction wound drains. Acta Orthop Scand 1976;47:320-323.
2. Dietz FR, Koontz FP, Found EM, Marsh JL. The importance of positive bacterial cultures of specimens obtained during clean orthopaedic operations. J Bone Joint Surg Am 1991;73:1200-1207.
3. Moussa FW, Anglen JO, Gehrke JC, Christensen G, Simpson WA. The significance of positive cultures from orthopaedic fixation devices in the absence of clinical infection. Am J Orthop 1997;26:617-620.
4. Wong ES. Surgical site infections. In: Mayhall G, ed. Hospital Epidemiology and Infection Control, ed. 2. Philadelphia: Lippincott Williams & Wilkins; 1999:204.
5. Vandecasteele SJ, Van Wijngaerden E, Van Eldere J, Peetermans WE. New insights in the pathogenesis of foreign body infections with coagulase negative staphylococci. Acta Clin Belg 2000;55:148-153.
6. Tunney MM, Patrick S, Curran MD, et al. Detection of prosthetic hip infection at revision arthroplasty by immunofluoresćence microscopy and PCR amplification of the bacterial 16S rRNA gene. J Clin Microbiol 1999;37:3281-3290.
7. Lindahl J, Korkala O, Pammo H, Miettinen A. Bacterial contamination and closed suction drainage in open meniscectomy of the knee. Ann Chir Gynaecol 1993;82:51-54.
8. Overgaard S, Thomsen NO, Kulinski B, Mossing NB. Closed suction drainage after hip arthroplasty: prospective study of bacterial contamination in 81 cases. Acta Orthop Scand 1993;64:417-420.
9. Harwood DA, Robbins SG, Zawadsky JP, Bullek D. The predictive value of intraoperative and post-operative cultures in patients undergoing total hip arthroplasty. Orthopaedic Transactions 1989;13:60-61.
10. Fitzgerald RH Jr, Peterson LF, Washington JA 2nd, Van Scoy RE, Coventry MB. Bacterial colonization of wounds and sepsis in total hip arthroplasty. J Bone Joint Surg Am 1973;55:1242-1250.
11. Dobbins JJ, Seligson D, Raff MJ. Bacterial colonization of orthopaedic fixation devices in the absence of clinical infection. J Infect Dis 1988;158:203-205.
12. Bernard L, Pron B, Vuagnat A, et al. The value of suction drainage culture during clean and septic orthopaedic operations: a prospective study of 901 patients. Clin Infect Dis 2002;34:46-49.