Clostridium difficile infection after total joint arthroplasty:: Who is at risk?

被引：25
|
作者：
Kurd, Mark F. [1 ]
Pulido, Luis [1 ]
Joshi, Ashish [1 ]
Purtill, James J. [1 ]
Parvizi, Javad [1 ]
机构：
[1] Thomas Jefferson Univ, Rothman Inst Orthopaed, Philadelphia, PA 19107 USA
来源：
JOURNAL OF ARTHROPLASTY | 2008年 / 23卷 / 06期
关键词：
arthroplasty; replacement; knee; hip; Clostridium difficile; enterocolitis; pseudomembranous;
D O I：
10.1016/j.arth.2007.10.033
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Clostridium difficile-associated diarrhea is a recognized postoperative complication. However, the exact risk factors for this condition after total joint arthroplasty (TJA) remain unknown. This case-controlled study intended to identify the predisposing factors for this condition. There were 16 cases of C difficile infections after 9880 TJA (0.16% incidence) between January 2001 and May 2006 at our institution. The cases were matched with 32 controls for month/year of surgery and surgeon. This study suggests that patients with deteriorated physical status or those who receive greater than one antibiotic after surgery are at a higher risk for developing C diffcile-associated diarrhea after TJA.
引用
收藏
页码：839 / 842
页数：4
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