Exchange of Prosthetic Joint, One-step Exchange, Prosthetic Joint Infection
Conditions
Keywords
pre-treatment, antibiotherapy, prosthetic joint infection, treatment failure
Brief summary
The results found in the literature do not allow to define objectively the indications respective for a one-step or a two-step exchange of prosthetic joint. Some criteria could help to decide for one-step exchange or two-step exchange: bacteria is/are identified, profile of the bacteria, anesthetic difficulties,.. A puncture could allow to identify the bacteria involved in the prosthetic joint infection (PJI) and an antibiotherapy for a few days can be given to the patient in order to decrease the inoculum. Then, a one-step exchange can be performed. The purpose of this study is to describe the management of patients who had a pre-treatment before a one-step exchange of their prosthetic joint.
Interventions
None listed
Sponsors
Hospices Civils de Lyon
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patient with prosthetic joint infection and having had a pre-treatment, managed at the Croix-Rousse Hospital * \> 18 years old
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| bacterial epidemiology | at the end of follow-up (usually between 12 and 24 months after antibiotic therapy disruption) | This outcome will describe the bacterial epidemiology identified with a punction, the antibiotherapy used for pre-treatment, the characteristics of patients and the PJI. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treatment failure | at the end of follow-up (usually between 12 and 24 months after antibiotic therapy disruption) | Treatment failure is defined by local clinical and/or microbiological relapse; and/or need for additional surgery; death of septic origin |
Outcome results
None listed