Bacterial Infection
Conditions
Keywords
Protheses, nails, screws or plates
Brief summary
The main objective of this study was to compare the diagnostic capability (sensitivity and specificity) of standard bacteriological analysis made from one or other of the two sampling processing techniques and perioperative management of samples : the Ultra Turrax method that uses grinding versus the standard method.
Detailed description
The secondary objectives of this study are to: A. Compare the two techniques in terms of bacterial species identified. B. Compare the diagnostic capabilities (sensitivity and specificity) of the two sample processing techniques depending on the type of analyzed samples (soft tissue, bone tissue) (subgroup analysis). C. Compare the diagnostic capabilities (sensitivity and specificity) of the two sample processing techniques depending on the type of joint (subgroup analysis). D. Compare the diagnostic capabilities (sensitivity and specificity) of the two sample processing techniques depending on the type of implanted materials (prosthesis versus other equipment) (subgroup analysis). E. Develop a culture collection of bacteria isolated from infection osteo-articular protheses.
Interventions
One half of the biological material collected during the intervetion (according to standard procedures) will be ground using the Ultra Turrax technique before proceeding with culturing.
One half of the biological material collected during the intervetion (according to standard procedures) will be treated according to standard techniques before proceeding with culturing.
Sponsors
Study design
Eligibility
Inclusion criteria
* The patient must be insured or beneficiary of a health insurance plan * The patient is cared for in the operating theater because of a suspicion of an osteo-articular infection involving any type of material (protheses, screws, plates) and requiring bacteriological sampling * The patient has not taken any antibiotics within the past 15 days
Exclusion criteria
* The patient is participating in another study * The patient is in an exclusion period determined by a previous study * The patient is under judicial protection * It is impossible to correctly inform the patient * The patient is pregnant, parturient, or breastfeeding * The subject presents with an osteo-articulaire infection without material * Systematic samplings from reversals of aseptic prostheses * Second intervention for the same patient
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Presence/absence of an osteo-articular infection according to sample that underwent Ultra Turrax® grinding | Baseline |
| Presence/absence of an osteo-articular infection according to sample that underwent standard treatment | Baseline |
Secondary
| Measure | Time frame |
|---|---|
| Identification of bacterial species | Baseline |
Countries
France
Contacts
Centre Hospitalier Universitaire de Nîmes