keyword
MENU ▼
Read by QxMD icon Read
search

Prosthetic joint

keyword
https://www.readbyqxmd.com/read/29339298/implementation-and-impact-of-an-audit-and-feedback-antimicrobial-stewardship-intervention-in-the-orthopaedics-department-of-a-tertiary-care-hospital-a-controlled-interrupted-time-series-study
#1
Margarida Tavares, Ana Cláudia Carvalho, José Pedro Almeida, Paulo Andrade, Ricardo São Simão, Pedro Soares, Carlos Alves, Rui Pinto, Arnaud Fontanet, Laurence Watier
A prospective audit and feedback antimicrobial stewardship intervention conducted in the Orthopaedics Department of a University Hospital in Portugal was evaluated by comparing an interrupted time series in an intervention group and a non-intervention (control) group. Monthly antibiotic use (except cefazolin) was measured as World Health Organization- and Anatomical Therapeutic Chemical-defined daily doses (DDD) from January 2012 to September 2016, excluding the 6-month phase of intervention implementation starting on January 1, 2015...
January 12, 2018: International Journal of Antimicrobial Agents
https://www.readbyqxmd.com/read/29336620/the-role-of-the-pi3k-mtor-signaling-pathway-in-staphylococcus-epidermidis-small-colony-variants-intracellular-survival
#2
Agnieszka Magryś, Agnieszka Bogut, Michał Kiełbus, Alina Olender
The objective of this study was to analyze how Staphylococcus epidermidis SCV and WT strains manipulate the PI3K/Akt/mTOR signaling pathway. Six S. epidermidis strains with normal phenotype (WT) and six S. epidermidis strains with SCV phenotype were isolated in parallel from six patients with the prosthetic hip joint infections. THP-1 activated cells were incubated with or without PI3K inhibitor-wortmannin or with mTOR inhibitor-rapamycin. Next, macrophages were exposed to S. epidermidis WT and SCV strains...
January 16, 2018: Immunological Investigations
https://www.readbyqxmd.com/read/29326959/use-of-antibiotic-prophylaxis-for-tooth-extractions-dental-implants-and-periodontal-surgical-procedures
#3
Katie J Suda, Heather Henschel, Ursula Patel, Margaret A Fitzpatrick, Charlesnika T Evans
Background: Guidelines for antibiotics prior to dental procedures for patients with specific cardiac conditions and prosthetic joints have changed, reducing indications for antibiotic prophylaxis. In addition to guidelines focused on patient comorbidities, systematic reviews specific to dental extractions and implants support preprocedure antibiotics for all patients. However, data on dentist adherence to these recommendations are scarce. Methods: This was a cross-sectional study of veterans undergoing tooth extractions, dental implants, and periodontal procedures...
January 2018: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/29324457/successful-first-gait-of-a-child-with-hip-disarticulation-prosthesis-a-case-report
#4
Hitomi Hara, Teruya Kawamoto, Naomasa Fukase, Etsuko Katayama, Toshiyuki Takemori, Shuichi Fujiwara, Yoshitada Sakai, Kotaro Nishida, Ryosuke Kuroda, Toshihiro Akisue
An infant boy underwent hip disarticulation for infantile fibrosarcoma immediately after birth. His rehabilitation began when he was 4 months old and involved training with his left (residual) leg. He could stand with support at 12 months. His initial prosthesis fitting was performed at the age of 13 months. He could stand and walk with support at 15 months of age and could walk with no additional support and go up and down stairs at 2 years. A single-axis prosthetic knee joint was introduced at the age of 2 years 3 months...
January 11, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29322903/difficult-to-treat-osteoarticulars-infections%C3%A2-focus-on-mycobacterial-and-fungal-infection
#5
J C Yombi, L Seyler, O Cornu, O Barbier, X Libouton, H Rodriguez-Villalobos, E Thienpont
Bone and joint infections are rare but often devastating. While bacteria are most commonly encountered organisms, mycobacteria and fungi are less frequent. Management of the latter is often more complex, especially in the presence of foreign material. We will increasingly be faced with mycobacterial and fungal bone infections, as medical conditions and newer therapeutics lead to more immunosuppression. In this article, we will review osteomyelitis, septic arthritis and peri-prosthetic joint infections related to mycobacteria and fungi...
March 2017: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29318965/current-status-of-molecular-imaging-in-infections
#6
Martina Sollini, Chiara Lauri, Roberto Boni, Elena Lazzeri, Paola Anna Erba, Alberto Signore
There is an increased need to find non-invasive tools for early diagnosis and follow-up of infections. Nuclear medicine techniques may be used to diagnose, localize and evaluate the severity and the extent of infections before the occurrence of anatomical abnormalities. This review focuses on different approaches based on radiolabelled cells, peptides and antibodies or [18F]FDG to image infective diseases in agreement with what is being jointly evaluated by the European Association of Nuclear Medicine (EANM)...
January 9, 2018: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/29317156/surgical-space-suits-increase-particle-and-microbiological-emission-rates-in-a-simulated-surgical-environment
#7
Praveen Vijaysegaran, Luke D Knibbs, Lidia Morawska, Ross W Crawford
BACKGROUND: The role of space suits in the prevention of orthopedic prosthetic joint infection remains unclear. Recent evidence suggests that space suits may in fact contribute to increased infection rates, with bioaerosol emissions from space suits identified as a potential cause. This study aimed to compare the particle and microbiological emission rates (PER and MER) of space suits and standard surgical clothing. METHODS: A comparison of emission rates between space suits and standard surgical clothing was performed in a simulated surgical environment during 5 separate experiments...
December 14, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29310919/increased-complications-for-schizophrenia-and-bipolar-disorder-patients-undergoing-total-joint-arthroplasty
#8
Michael M Kheir, You Na P Kheir, Timothy L Tan, Colin T Ackerman, Alexander J Rondon, Antonia F Chen
BACKGROUND: Although it has been shown that anxiety and depression are associated with increased complications after total joint arthroplasty (TJA), the outcomes of TJA in patients with a history of psychosis are unknown. This study evaluated the influence of bipolar and schizophrenic disorders on complications after TJA, particularly aseptic and septic revisions. METHODS: A retrospective review of 156 TJAs (125 primaries and 31 revisions) was performed at a single institution from 2000 to 2015...
December 14, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29309029/acl-status-in-arthroplasty-patients-why-not-to-preserve
#9
Ahmed Abdelbadie, Ahmed Ali Toreih, Mohamed Ahmed Radwan
INTRODUCTION: Only 70-85% of patients that had total knee arthroplasty (TKA) are satisfied with their knees. The need for a near to normal knee kinematics is crucial and maybe the solution to their needs. Addressing the cruciate ligaments during surgery along with the extent of arthrosis may give a solution to this problem. MATERIAL AND METHODS: One hundred consecutive patients in whom a total knee arthroplasty was indicated and performed were prospectively documented...
2018: SICOT-J
https://www.readbyqxmd.com/read/29307651/acute-periprosthetic-joint-infection-due-to-fusobacterium-nucleatum-in-a-non-immunocompromised-patient-failure-using-a-debridement-antibiotics-implant-retention-approach
#10
Pablo S Corona, Mayli Lung, Dolors Rodriguez-Pardo, Carles Pigrau, Francisco Soldado, Carles Amat, Luis Carrera
Fusobacterium nucleatum is an obligately anaerobic gram-negative rod, a component of the microbiome of the oropharynx and the gastrointestinal and urogenital tracts, causing an array of human infections which often include periodontal pathologies. As far as we know, there are no previous publications about acute periprosthetic joint infection due to Fusobacterium sp.; we report the first case in the medical literature of an aggressive, acute knee prosthetic infection due to F. nucleatum in a non-immunocompromised patient, unsuccessfully treated with a DAIR approach (Debridement + Antibiotics + Implant Retention)...
January 4, 2018: Anaerobe
https://www.readbyqxmd.com/read/29305427/patient-specific-medial-unicompartmental-knee-arthroplasty-has-a-greater-protective-effect-on-articular-cartilage-in-the-lateral-compartment-a-finite-element-analysis
#11
K-T Kang, J Son, D-S Suh, S K Kwon, O-R Kwon, Y-G Koh
OBJECTIVES: Patient-specific (PS) implantation surgical technology has been introduced in recent years and a gradual increase in the associated number of surgical cases has been observed. PS technology uses a patient's own geometry in designing a medical device to provide minimal bone resection with improvement in the prosthetic bone coverage. However, whether PS unicompartmental knee arthroplasty (UKA) provides a better biomechanical effect than standard off-the-shelf prostheses for UKA has not yet been determined, and still remains controversial in both biomechanical and clinical fields...
January 2018: Bone & Joint Research
https://www.readbyqxmd.com/read/29299902/role-of-penile-prosthesis-in-priapism-a-review
#12
REVIEW
Amit G Reddy, Laith M Alzweri, Andrew T Gabrielson, Gabriel Leinwand, Wayne J G Hellstrom
Ischemic priapism is a urological emergency that has been associated with long-standing and irreversible adverse effects on erectile function. Studies have demonstrated a linear relationship between the duration of critically ischemic episodes and the subsequent development of corporal fibrosis and irreversible erectile function loss. Placement of a penile prosthesis is a well-established therapeutic option for the management of erectile dysfunction secondary to ischemic priapism, and will be the focus of this review...
January 2018: World Journal of Men's Health
https://www.readbyqxmd.com/read/29291157/staphylococcus-epidermidis-isolates-from-nares-and-prosthetic-joint-infections-are-mupirocin-susceptible
#13
Lavin Salih, Staffan Tevell, Emeli Månsson, Åsa Nilsdotter-Augustinsson, Bengt Hellmark, Bo Söderquist
The objective of the present study was to investigate the antibiotic susceptibility including mupirocin among Staphylococcus. epidermidis isolated from prosthetic joint infections (PJIs) (n=183) and nasal isolates (n=75) from patients intended to undergo prosthetic joint replacements. Susceptibility to mupirocin (used for eradication of nasal carriership of Staphylococcus aureus) was investigated by gradient test, and susceptibility to various other antimicrobial agents was investigated by disc diffusion test...
2018: Journal of Bone and Joint Infection
https://www.readbyqxmd.com/read/29288184/leak-study-design-of-a-nationwide-randomised-controlled-trial-to-find-the-best-way-to-treat-wound-leakage-after-primary-hip-and-knee-arthroplasty
#14
Claudia A M Löwik, Frank-Christiaan Wagenaar, Walter van der Weegen, Rudolf W Poolman, Rob G H H Nelissen, Sjoerd K Bulstra, Yvette Pronk, Karin M Vermeulen, Marjan Wouthuyzen-Bakker, Inge van den Akker-Scheek, Martin Stevens, Paul C Jutte
INTRODUCTION: Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are highly successful treatment modalities for advanced osteoarthritis. However, prolonged wound leakage after arthroplasty is linked to prosthetic joint infection (PJI), which is a potentially devastating complication. On the one hand, wound leakage is reported as a risk factor for PJI with a leaking wound acting as a porte d'entrée for micro-organisms. On the other hand, prolonged wound leakage can be a symptom of PJI...
December 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/29281992/rapidly-growing-mycobacterial-infection-a-recognized-cause-of-early-onset-prosthetic-joint-infection
#15
Anupop Jitmuang, Varah Yuenyongviwat, Keerati Charoencholvanich, Methee Chayakulkeeree
BACKGROUND: Prosthetic joint infection (PJI) is a major complication of total hip and total knee arthroplasty (THA, TKA). Although mycobacteria are rarely the causative pathogens, it is important to recognize and treat them differently from non-mycobacterial infections. This study aimed to compare the clinical characteristics, associated factors and long-term outcomes of mycobacterial and non-mycobacterial PJI. METHODS: We conducted a retrospective case-control study of patients aged ≥18 years who were diagnosed with PJI of the hip or knee at Siriraj Hospital from January 2000 to December 2012...
December 28, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29273290/risk-factors-and-costs-associated-with-clostridium-difficile-colitis-in-patients-with-prosthetic-joint-infection-undergoing-revision-total-hip-arthroplasty
#16
Ronald E Delanois, Nicole E George, Jennifer I Etcheson, Chukwuweike U Gwam, Jaydev B Mistry, Michael A Mont
BACKGROUND: With the increased demand for primary total hip arthroplasty (THA) and corresponding rise in revision procedures, it is imperative to understand the factors contributing to the development of Clostridium difficile colitis. We aimed to provide a detailed analysis of: (1) the incidence of; (2) the demographics, lengths of stay, and total costs for; and (3) the risk factors and mortality associated with the development of C. difficile colitis after revision THA. METHODS: The National Inpatient Sample database was queried for all individuals diagnosed with a periprosthetic joint infection and who underwent all-component revision THA between 2009 and 2013 (n = 40,876)...
December 2, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29250661/effects-of-malalignment-angle-on-the-contact-stress-of-knee-prosthesis-components-using-finite-element-method
#17
Daniela TarniŢă, Dan Marian Calafeteanu, IonuŢ Daniel Geonea, Alin Petcu, DănuŢ Nicolae TarniŢă
In this paper, the complex 3D virtual model of the prosthetic knee is obtained using embedded applications: DesignModeler and SpaceClaim under ANSYS Workbench 14.5 software package. A number of six cases of prosthetic knee joint assembly, depending on the malalignment angle, are developed. Stress maps and the values of the maximum von Mises stress on the three prosthesis components: polyethylene insert, tibial component and femoral component, for all studied prosthetic knee assemblies were obtained. The results show that as the malalignment angle increases, the values of von Mises stresses increase in all prosthesis components...
2017: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/29247432/antimicrobial-photodynamic-therapy-a-promising-treatment-for-prosthetic-joint-infections
#18
Timothy Briggs, Gordon Blunn, Simon Hislop, Rita Ramalhete, Caroline Bagley, David McKenna, Melanie Coathup
Periprosthetic joint infection (PJI) is associated with high patient morbidity and a large financial cost. This study investigated Photodynamic Therapy (PDT) as a means of eradicating bacteria that cause PJI, using a laser with a 665-nm wavelength and methylene blue (MB) as the photosensitizer. The effectiveness of MB concentration on the growth inhibition of methicillin-sensitive Staphylococcus aureus (MSSA), methicillin-resistant Staphylococcus aureus (MRSA), Staphylococcus epidermidis, Pseudomonas aeruginosa and Acinetobacter baumannii was investigated...
December 15, 2017: Lasers in Medical Science
https://www.readbyqxmd.com/read/29243060/synovial-aspiration-and-serological-testing-in-two-stage-revision-arthroplasty-for-prosthetic-joint-infection-evaluation-before-reconstruction-with-a-mean-follow-up-of-twenty%C3%A2-seven%C3%A2-months
#19
Heinrich M L Mühlhofer, C Knebel, Florian Pohlig, Susanne Feihl, Norbert Harrasser, Johannes Schauwecker, Rüdiger von Eisenhart-Rothe
INTRODUCTION: The two-stage revision protocol is the gold standard for controlling and treating low-grade prosthetic joint infections of total hip and total knee arthroplasty. The antibiotic pause for diagnostic reasons before reconstruction (stage two) is discussed in relation to the persistence of the infection and the development of resistant bacterial strains. Serological markers and a synovial analysis are commonly used to exclude the persistence of infection. Therefore, we asked (1) is the serological testing of C-reactive protein and leucocytes a valuable tool to predict a persistence of infection? and (2) what is the role of synovial aspiration of Plymethylmethacrylat (PMMA) spacers in hip and knee joints? MATERIALS AND METHODS: One hundred twelve patients who were MSIS criteria-positive for a prosthetic joint infection were studied, including 45 total hip arthroplasties (THA) and 67 total knee artrhoplasties (TKA) patients...
December 14, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29224989/synovial-calprotectin-an-inexpensive-biomarker-to-exclude-a-chronic-prosthetic-joint-infection
#20
Marjan Wouthuyzen-Bakker, Joris J W Ploegmakers, Karsten Ottink, Greetje A Kampinga, Lucie Wagenmakers-Huizenga, Paul C Jutte, Anneke C M Kobold
BACKGROUND: To diagnose or exclude a chronic prosthetic joint infection (PJI) can be a clinical challenge. Therefore, sensitive and specific biomarkers are needed in the diagnostic work-up. Calprotectin is a protein with antimicrobial properties and is released by activated neutrophils, making it a specific marker for infection. Because of its low costs and ability to obtain a quantitative value as a point of care test, it is an attractive marker to use in clinical practice. In addition, the test is already used in routine care in most hospitals for other indications and therefore easy to implement...
November 13, 2017: Journal of Arthroplasty
keyword
keyword
33578
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"