Titre :

Bilateral one-stage revision of infected total hip arthroplasties: report of two cases and management of antibiotic therapy

Auteur(s) :

Pommepuy, Thomas [Auteur]
Université de Lille
Lons, Adrien [Auteur]
Université de Lille
Benad, Kevin [Auteur]
Université de Lille
Beltrand, Eric [Auteur]
Centre Hospitalier Gustave Dron [Tourcoing]
Senneville, Eric [Auteur]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Migaud, Henri [Auteur]
Marrow Adiposity & Bone Lab - Adiposité Médullaire et Os - ULR 4490 [MABLab]
Marrow Adiposity & Bone Lab (MABLab) - ULR 4490

Titre de la revue :

Case reports in orthopedics

Nom court de la revue :

Case Rep Orthop

Numéro :

2016

Pagination :

3621749

Date de publication :

2016-01-01

ISSN :

2090-6749

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Recommendations for the management of chronic and bilateral total hip arthroplasty (THA) infection are lacking. However, this type of infection involves medical problems concerning the management of the antibiotic therapy. ...
Lire la suite >Recommendations for the management of chronic and bilateral total hip arthroplasty (THA) infection are lacking. However, this type of infection involves medical problems concerning the management of the antibiotic therapy. We report two cases of such infections operated as one-stage revision. For each case, both hips were infected with the same bacteria (Staphylococcus caprae for one patient and methicillin-sensitive Staphylococcus aureus for the other). The probabilistic antibiotic treatment started during the first side (after harvesting intraoperative samples) did not prevent the culture of the bacteriologic harvested during the intervention of the second side. Cultures were positive for the same bacteria for both sides in the two cases presented herein. After results of intraoperative cultures, patients received culture-guided antibiotic therapy for three months and were considered cured at the end of a two-year follow-up. Our results suggest one-stage bilateral change of infected THA is a viable option and that early intraoperative antibiotic, started during the first-side exchange, does not jeopardize microbiological documentation of the second side. This work brings indirect arguments, in favor of the use of prophylactic antibiotics during revision of infected THA.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

CHU Lille
Univ. Littoral Côte d’Opale
Université de Lille

Collections :

• Marrow Adiposity & Bone Lab (MABLab) - ULR 4490
• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2019-12-09T16:49:22Z
2020-05-20T09:12:47Z