La toma de muestras intraoperatorias con hisopo para el diagnóstico precoz de una infección de prótesis total de cadera es una práctica ineficaz

  1. R. MENCÍA-BARRIO 1
  2. A. ALONSO-RECIO 1
  3. M. L. SUÁREZ-HUERTA 1
  4. V. BÁRCENA-TRICIO 1
  5. L. R. RAMOS-PASCUA 1
  1. 1 Complejo Asistencial Universitario de León
    info

    Complejo Asistencial Universitario de León

    León, España

    ROR https://ror.org/05gn84d31

Journal:
Revista española de cirugía osteoarticular

ISSN: 0304-5056

Year of publication: 2016

Volume: 51

Issue: 266

Pages: 73-77

Type: Article

DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista española de cirugía osteoarticular

Abstract

There are many international meetings and consensus about the diagnosis of periprosthetic joint infection. However, there aren´t consensus about the most appropriate test to identify the prophylactically microorganisms responsible of infection. This paper is a retrospective study of 1.022 patients with 1.045 total hip replacements between 2009-2013. We analyzed the results of intraoperative culture samples, identified the microorganisms and the patients with clinical infection. We calculated the sensitivity, specificity, positive and negative predictive values of the test. The patients with infectious were identified and classified according to criteria Tsukayama and treatment performed. We conclude that intraoperative culture samples in primary hip arthroplasty to try to advance the diagnosis of periprosthetic infection are an ineffective and inefficient practice and we have to stop doing it.

Data source: Dialnet