FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2994822010> ?p ?o ?g. }

• W2994822010 endingPage "708" @default.
• W2994822010 startingPage "702" @default.
• W2994822010 abstract "Only few studies evaluated hematogenous prosthetic joint infections. We aimed to describe the characteristics of these infections and factors associated with management failure. We selected hematogenously-acquired infections, defined by the occurrence of infectious symptoms more than a year after implantation among records of patients treated for hip and knee prosthetic joint infections at Montpellier University Hospital between January 2004 and May 2015. Failure was defined by death due to prosthesis-related infection, need for prosthesis removal in case of conservative treatment, or recurrence of infectious signs on a new prosthesis. Forty-seven patients with hematogenous prosthetic joint infection were included (33 knee infections and 14 hip infections). Infectious agents were streptococci (43%), Staphylococcus aureus (43%), Gram-negative bacilli (13%), and Listeria monocytogenes (2%). Thirty-one patients were initially treated with debridement and implant retention and 15 with prosthesis removal (three with one-stage surgery, 10 with two-stage surgery). The median duration of antibiotic therapy was 66.5 days. The overall failure rate was 52% (24/48), 71% (22/31) with implant retention strategy, 13% (2/15) with prosthesis removal, and 63% (12/19) in case of Staphylococcus aureus infection. Conservative treatment was appropriate (arthrotomy on a well-implanted prosthesis without sinus tract and symptom onset <21 days) in 13/31 patients (42%) with a failure rate still high at 69% (9/13). The only factor associated with failure was conservative surgical treatment. The high risk of failure of conservative treatment for hematogenous prosthetic joint infections should lead to considering prosthesis replacement as the optimal strategy, particularly with Staphylococcus aureus. Nous avons étudié les caractéristiques des infections hématogènes de prothèse articulaire et les facteurs associés à l’échec de prise en charge. Ces infections, définies par l’apparition de symptômes plus d’un an après l’implantation, ont été rétrospectivement sélectionnées parmi les dossiers de patients pris en charge pour infection de prothèses de hanche et de genou entre juin 2004 et mai 2015. L’échec de prise en charge était défini par le décès lié à l’infection, l’ablation de prothèse en cas de traitement conservateur ou la récidive de signes infectieux sur une nouvelle prothèse. Quarante-sept patients présentant une telle infection ont été inclus (33 genoux, 14 hanches). Les bactéries étaient des streptocoques (43 %), Staphylococcus aureus (43 %), des bacilles gram-négatifs (13 %), Listeria monocytogenes (2 %). Trente-et-un patients ont été initialement traités par lavage et maintien des implants et 15 par ablation de prothèse. La durée médiane d’antibiothérapie était de 66,5 jours. Le taux global d’échec était de 52 %, 71 % en cas de maintien, 13 % en cas d’ablation et 63 % en cas d’infections à Staphylococcus aureus. Le traitement conservateur était approprié (arthrotomie sur une prothèse scellée, sans fistule et symptomatique depuis moins de 21 jours) chez 42 % des patients avec un taux d’échec élevé (69 %). Le seul facteur associé à l’échec était le traitement conservateur. Le risque élevé d’échec du traitement conservateur doit faire considérer le changement de prothèse comme le traitement optimal, particulièrement en cas d’infection à Staphylococcus aureus." @default.
• W2994822010 created "2019-12-26" @default.
• W2994822010 creator A5000368125 @default.
• W2994822010 creator A5025083882 @default.
• W2994822010 creator A5025648914 @default.
• W2994822010 creator A5038682669 @default.
• W2994822010 creator A5045168235 @default.
• W2994822010 creator A5060787825 @default.
• W2994822010 creator A5073533330 @default.
• W2994822010 creator A5079536468 @default.
• W2994822010 creator A5081804481 @default.
• W2994822010 date "2020-11-01" @default.
• W2994822010 modified "2023-10-18" @default.
• W2994822010 title "Implant retention and high rate of treatment failure in hematogenous acute knee and hip prosthetic joint infections" @default.
• W2994822010 cites W179565001 @default.
• W2994822010 cites W188822057 @default.
• W2994822010 cites W1969015917 @default.
• W2994822010 cites W1980159179 @default.
• W2994822010 cites W1996368662 @default.
• W2994822010 cites W2001420273 @default.
• W2994822010 cites W2003318659 @default.
• W2994822010 cites W2005835378 @default.
• W2994822010 cites W2077244226 @default.
• W2994822010 cites W2095788230 @default.
• W2994822010 cites W2099018662 @default.
• W2994822010 cites W2108152814 @default.
• W2994822010 cites W2111057193 @default.
• W2994822010 cites W2112912261 @default.
• W2994822010 cites W2124573643 @default.
• W2994822010 cites W2129571697 @default.
• W2994822010 cites W2137013686 @default.
• W2994822010 cites W2147407953 @default.
• W2994822010 cites W2152573566 @default.
• W2994822010 cites W2168345254 @default.
• W2994822010 cites W2185690619 @default.
• W2994822010 cites W2212444540 @default.
• W2994822010 cites W2214469492 @default.
• W2994822010 cites W2530371646 @default.
• W2994822010 cites W2786360219 @default.
• W2994822010 cites W2791011129 @default.
• W2994822010 cites W2890733318 @default.
• W2994822010 cites W2898501424 @default.
• W2994822010 cites W336600855 @default.
• W2994822010 cites W4233484065 @default.
• W2994822010 doi "https://doi.org/10.1016/j.medmal.2019.11.005" @default.
• W2994822010 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31848104" @default.
• W2994822010 hasPublicationYear "2020" @default.
• W2994822010 type Work @default.
• W2994822010 sameAs 2994822010 @default.
• W2994822010 citedByCount "2" @default.
• W2994822010 countsByYear W29948220102022 @default.
• W2994822010 countsByYear W29948220102023 @default.
• W2994822010 crossrefType "journal-article" @default.
• W2994822010 hasAuthorship W2994822010A5000368125 @default.
• W2994822010 hasAuthorship W2994822010A5025083882 @default.
• W2994822010 hasAuthorship W2994822010A5025648914 @default.
• W2994822010 hasAuthorship W2994822010A5038682669 @default.
• W2994822010 hasAuthorship W2994822010A5045168235 @default.
• W2994822010 hasAuthorship W2994822010A5060787825 @default.
• W2994822010 hasAuthorship W2994822010A5073533330 @default.
• W2994822010 hasAuthorship W2994822010A5079536468 @default.
• W2994822010 hasAuthorship W2994822010A5081804481 @default.
• W2994822010 hasBestOaLocation W29948220101 @default.
• W2994822010 hasConcept C141071460 @default.
• W2994822010 hasConcept C2777160814 @default.
• W2994822010 hasConcept C2777438270 @default.
• W2994822010 hasConcept C2778614594 @default.
• W2994822010 hasConcept C2778715743 @default.
• W2994822010 hasConcept C2779162959 @default.
• W2994822010 hasConcept C2781411149 @default.
• W2994822010 hasConcept C71924100 @default.
• W2994822010 hasConceptScore W2994822010C141071460 @default.
• W2994822010 hasConceptScore W2994822010C2777160814 @default.
• W2994822010 hasConceptScore W2994822010C2777438270 @default.
• W2994822010 hasConceptScore W2994822010C2778614594 @default.
• W2994822010 hasConceptScore W2994822010C2778715743 @default.
• W2994822010 hasConceptScore W2994822010C2779162959 @default.
• W2994822010 hasConceptScore W2994822010C2781411149 @default.
• W2994822010 hasConceptScore W2994822010C71924100 @default.
• W2994822010 hasIssue "8" @default.
• W2994822010 hasLocation W29948220101 @default.
• W2994822010 hasLocation W29948220102 @default.
• W2994822010 hasLocation W29948220103 @default.
• W2994822010 hasLocation W29948220104 @default.
• W2994822010 hasOpenAccess W2994822010 @default.
• W2994822010 hasPrimaryLocation W29948220101 @default.
• W2994822010 hasRelatedWork W2020441450 @default.
• W2994822010 hasRelatedWork W2034590282 @default.
• W2994822010 hasRelatedWork W2166530751 @default.
• W2994822010 hasRelatedWork W2196692078 @default.
• W2994822010 hasRelatedWork W2747772758 @default.
• W2994822010 hasRelatedWork W2991109883 @default.
• W2994822010 hasRelatedWork W3164660576 @default.
• W2994822010 hasRelatedWork W4234277545 @default.
• W2994822010 hasRelatedWork W4300620501 @default.
• W2994822010 hasRelatedWork W3129753009 @default.
• W2994822010 hasVolume "50" @default.
• W2994822010 isParatext "false" @default.

• next