[Etiological agents more common in primary hip and knee joint replacement infections in older adults]

Acta Ortop Mex. 2016 May-Jun;30(3):116-118.
[Article in Spanish]

Abstract

Background: The most common etiological agents in periprosthetic infections are Escherichia coli and Staphylococcus aureus. The frequency of these infections are found in knee replacement with 0.68 to 1.60% compared to the hip with 0.67 to 2.4%.

Objective: To identify what are the most common etiologic agents in periprosthetic infections in elderly patients with primary hip and knee surgery.

Material and methods: An observational study, transverse and retrospective case series was performed in a period from June 2011 to December 2014, patients over 60 years with a diagnosis of periprosthetic infection by two positive cultures with antibiograma.

Results: 62 patients were evaluated 59.7% were infections of knee and hip 40.3%, 59% were infections by Escherichia coli and Staphylococcus aureus 22%. The best sensitivity reported antibiotic trimethoprim-sulfamethoxazole was 40.3%. The largest penicillin G resistance 32.2%.

Conclusion: The most common causative agents were Escherichia coli and Staphylococcus aureus.

Los agentes etiológicos más frecuentes en las infecciones periprotésicas son Escherichia coli y Staphylococcus aureus. La frecuencia de estas infecciones se presenta en el reemplazo articular de rodilla de 0.68 a 1.60% en comparación con el de cadera de 0.67 a 2.4%.

Keywords: Escherichia coli; Periprosthetic infection; hip; knee.

MeSH terms

  • Aged
  • Anti-Bacterial Agents
  • Arthroplasty, Replacement, Hip* / adverse effects
  • Arthroplasty, Replacement, Knee
  • Humans
  • Knee Prosthesis
  • Middle Aged
  • Prosthesis-Related Infections* / microbiology
  • Retrospective Studies
  • Staphylococcal Infections* / etiology
  • Staphylococcus aureus / isolation & purification

Substances

  • Anti-Bacterial Agents