For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
4
views
79
references
 Top references
cited by
8
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      151
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Risk factors associated with surgical site infections following joint replacement surgery: a narrative review

      review-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Surgical site infection following joint replacement surgery is still a significant complication, resulting in repeated surgery, prolonged antibiotic therapy, extended postoperative hospital stay, periprosthetic joint infection, and increased morbidity and mortality. This review discusses the risk factors associated with surgical site infection.

          Related risk factors

          The patient-related factors include sex, age, body mass index (BMI), obesity, nutritional status, comorbidities, primary diagnosis, living habits, and scores of the American Society of Anesthesiologists physical status classification system, etc. Surgery-related factors involve preoperative skin preparation, prolonged duration of surgery, one-stage bilateral joint replacement surgery, blood loss, glove changes, anti-microbial prophylaxis, topical anti-bacterial preparations, wound management, postoperative hematoma, etc. Those risk factors are detailed in the review.

          Conclusion

          Preventive measures must be taken from multiple perspectives to reduce the incidence of surgical site infection after joint replacement surgery.

          Related collections

          Most cited references79

          • Record: found
          • Abstract: found
          • Article: not found

          Economic burden of periprosthetic joint infection in the United States.

          Steven M. Kurtz, Edmund Lau, Heather Watson … (2012)
          This study characterizes the patient and clinical factors influencing the economic burden of periprosthetic joint infection (PJI) in the United States. The 2001-2009 Nationwide Inpatient Sample was used to identify total hip and knee arthroplasties using International Classification of Diseases, Ninth Revision, procedure codes. The relative incidence of PJI ranged between 2.0% and 2.4% of total hip arthroplasties and total knee arthroplasties and increased over time. The mean cost to treat hip PJIs was $5965 greater than the mean cost for knee PJIs. The annual cost of infected revisions to US hospitals increased from $320 million to $566 million during the study period and was projected to exceed $1.62 billion by 2020. As the demand for joint arthroplasty is expected to increase substantially over the coming decade, so too will the economic burden of prosthetic infections. Copyright © 2012. Published by Elsevier Inc.
          Article 0 comments Cited 278 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Periprosthetic joint infection.

            Bhaveen H Kapadia, Richard A Berg, Jacqueline Daley … (2016)
            Periprosthetic joint infections are a devastating complication after arthroplasty and are associated with substantial patient morbidity. More than 25% of revisions are attributed to these infections, which are expected to increase. The increased prevalence of obesity, diabetes, and other comorbidities are some of the reasons for this increase. Recognition of the challenge of surgical site infections in general, and periprosthetic joint infections particularly, has prompted implementation of enhanced prevention measures preoperatively (glycaemic control, skin decontamination, decolonisation, etc), intraoperatively (ultraclean operative environment, blood conservation, etc), and postoperatively (refined anticoagulation, improved wound dressings, etc). Additionally, indications for surgical management have been refined. In this Review, we assess risk factors, preventive measures, diagnoses, clinical features, and treatment options for prosthetic joint infection. An international consensus meeting about such infections identified the best practices and further research needs. Orthopaedics could benefit from enhanced preventive, diagnostic, and treatment methods.
            Article 0 comments Cited 208 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Clinical practice. Infection associated with prosthetic joints.

              Jose L Del Pozo, Robin Patel (2009)
              Article 0 comments Cited 190 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Ping Keung Chan:
                ORCID: http://orcid.org/0000-0002-1969-0895
                cpk464@yahoo.com.hk
                Journal
                Journal ID (nlm-ta): Arthroplasty
                Journal ID (iso-abbrev): Arthroplasty
                Title: Arthroplasty
                Publisher: BioMed Central (London )
                ISSN (Electronic): 2524-7948
                Publication date (Electronic): 1 May 2022
                Publication date PMC-release: 1 May 2022
                Publication date Collection: 2022
                Volume: 4
                Electronic Location Identifier: 11
                Affiliations
                [1 ]GRID grid.412521.1, ISNI 0000 0004 1769 1119, Department of Joint Surgery, , The Affiliated Hospital of Qingdao University, ; Qingdao, China
                [2 ]GRID grid.194645.b, ISNI 0000000121742757, Department of Orthopaedics &, , Traumatology Queen Mary Hospital, The University of Hong Kong, ; 102 Pok Fu Lam Road, Hong Kong SAR, China
                Author information
                http://orcid.org/0000-0002-1969-0895
                Article
                Publisher ID: 113
                DOI: 10.1186/s42836-022-00113-y
                PMC ID: 9057059
                PubMed ID: 35490250
                SO-VID: 78610c53-d457-4b3a-974d-3e7c9a3e8a4b
                Copyright © © The Author(s) 2022
                License:

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                Date received : 14 September 2021
                Date accepted : 31 December 2021
                Categories
                Subject: Review
                Custom metadata
                issue-copyright-statement © The Author(s) 2022

                Keywords: surgical site infection,risk factor,joint replacement
                Data availability:
                Keywords: surgical site infection, risk factor, joint replacement

                Comments

                Comment on this article

                scite_

                Similar content151

                See all similar

                Cited by8

                See all cited by

                Most referenced authors804

                See all reference authors