Incidence and Risk Factors for Deep Surgical Site Infection After Primary Total Hip Arthroplasty: A Systematic Review

被引：167
|
作者：
Urquhart, Donna M. [1 ]
Hanna, Fahad S. [2 ]
Brennan, Sharon L.
Wluka, Anita [2 ]
Leder, Karin
Cameron, Peter A.
Graves, Stephen E. [3 ]
Cicuttini, Flavia M.
机构：
[1] Monash Univ, Dept Epidemiol & Prevent Med, Cent & Eastern Clin Sch, Alfred Hosp, Commercial Rd, Melbourne, Vic 3004, Australia
[2] Baker IDI Heart & Diabet Inst, Melbourne, Vic 8008, Australia
[3] Univ Melbourne, Dept Med, Royal Melbourne Hosp, Parkville, Vic 3052, Australia
来源：
JOURNAL OF ARTHROPLASTY | 2010年 / 25卷 / 08期
基金：
英国医学研究理事会;
关键词：
hip arthroplasty/replacement; infection; Incidence; risk factor; systematic review; EXCESS LENGTH; REPLACEMENT; RATES; SURVEILLANCE; OUTCOMES; DISLOCATION; IMPACT; VOLUME; STAY;
D O I：
10.1016/j.arth.2009.08.011
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：
Although deep surgical site infection (SSI) is a major complication of primary total hip arthroplasty (THA) there are conflicting data regarding the incidence of deep SSI and no comprehensive evaluation of the associated risk factors has been undertaken We performed a systematic review of the literature undertaking computer-aided searches of electronic databases assessment of methodological quality and a best-evidence synthesis The incidence of SSI ranged from 0 2% before discharge to 1 1% for the period up to and including 5 years post surgery Greater severity of a pre-existing illness and a longer duration of surgery were found to be independent risk factors for deep SSI There is a need for high-quality prospective studies to further identify modifiable risk factors for deep SSI after THA
引用
收藏
页码：1216 / 1222
页数：7
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