Introduction: With a considerable morbidity, mortality and a high financial\nimpact, PJI has been considered as one of the most serious complications after\narthroplasty. Special awareness must be given to these patients due to a\nlife threatening systemic PJI related complication, sepsis. A prompt detection\nand adequate medical management of this situation is crucial for avoiding\nunfavorable outcomes. Methods: Between January 2011 and December 2012,\nwe retrospectively examined adult patients who met PJI-SIRS criteria. Medical\nhistory search for patientsâ?? anamnesis, surgical times, laboratory-microbiological\nfindings and success rates was performed. Results: Twenty patients\nwere enrolled in this study with a mean age of 71.35 years. Men population\nwas more commonly affected with 55% of the cases. The knee was mainly the\naffected joint with 52%. A severe systemic disease was present in 80% of the\ncases. A sickness sensation and pain were the most common prodromal symptoms\nfound 4.9 days before the admission to the hospital. In 85.7% of the\ncases the etiological agent was identified, with Staphylococcus aureus as the\nmost common. Two-stage surgery treatment was performed with a time interval\nbetween admission and the first operation of 5.45 h. The mean time\nduring the first and second operation was of 23 minutes and 117 minutes respectively.\nA reduction on microbiological positive cultures was found after\nthe first rapid operation (P = 0.0038). Serum CRP levels and fever disappearance\nwere the first parameters which indicated a favorable disease.......................
Loading....