Hip Sepsis and the Prevention of Perioperative Infections View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2015

AUTHORS

Javad Parvizi , Fatih Küçükdurmaz

ABSTRACT

Total hip arthroplasty (THA) is a very successful surgical procedure; however, periprosthetic joint infection (PJI) is a devastating complication after total joint arthroplasty (TJA). The incidence of deep infection has declined, but the total number of infections is increasing because of significant increases in the number of hip and knee surgeries performed each year. Recent improvements in perioperative techniques have enabled operation on patients with higher infection risk factors and comorbidities; however, the emergence of resistant bacterial strains represents a challenge in preventing deep infection. Infection risk can be reduced by optimizing modifiable factors related to the preoperative, surgical, and postoperative periods including patient-related and environmental factors and surgical technique. Malnourished or anemic patients, those with chronic diseases, or those with tobacco and alcohol abuse represent special risk groups. The principles of infection prevention in these patients are well-documented, but adherence to surgical and postoperative care protocols should be improved. In order to control PJI, identification of modifiable risk factors must be the first, essential part of current infection prevention practices. This chapter identifies common, modifiable risk factors and defines strategies for optimizing and caring for patients pre-, peri-, and post-operatively that may help to further reduce deep infection rates. More... »

PAGES

249-271

References to SciGraph publications

Book

TITLE

Diagnosis and Management of Hip Disease

ISBN

978-3-319-19904-7
978-3-319-19905-4

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-319-19905-4_12

DOI

http://dx.doi.org/10.1007/978-3-319-19905-4_12

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1043080906


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