Relevance of intra operative bacteriology culture in primary total knee replacement

Prosthetic joint infection following joint replacement is uncommon but can be a devastating complication. The rate of deep infection following primary total knee replacement is less than 2%. However, it remains a challenge to be encountered despite the advances in surgery nowadays. This study was...

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Main Author: Yaakub, Yuzaimi
Format: Thesis
Language:English
Published: 2016
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Online Access:http://eprints.usm.my/42959/1/Dr._Yuzaimi_Yaakub-24_pages.pdf
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spelling my-usm-ep.429592019-04-12T05:25:33Z Relevance of intra operative bacteriology culture in primary total knee replacement 2016 Yaakub, Yuzaimi RC Internal medicine Prosthetic joint infection following joint replacement is uncommon but can be a devastating complication. The rate of deep infection following primary total knee replacement is less than 2%. However, it remains a challenge to be encountered despite the advances in surgery nowadays. This study was a retrospective cross sectional study. The aim of this study was to determine whether obtaining bacteriology swabs for culture and sensitivity at the time of surgery could help in further reducing the rate of infection following primary total knee replacement. A bacteriology swab of the synovial fluid was taken immediately after opening the capsule of the knee joint and was sent for culture and sensitivity. Out of 140 swabs sent, none was found to be positive. Postoperatively, 2 (1.4%) of the patients developed deep infection whereas 36 (25.7%) developed superficial infection. Intra-operative bacteriology swab in primary total knee replacement has limited role in future prediction of incidence and management of postoperative prosthetic joint infection in total knee joint replacement surgery. This study also showed that there was no association found between risk factors such as age, gender, obesity, diabetes mellitus, rheumatoid arthritis, smoking and prolong duration of surgery, with post-operative superficial and deep infection. Keywords: Bacteriology swabs; primary total knee replacement; deep infection; prosthetic joint infection 2016 Thesis http://eprints.usm.my/42959/ http://eprints.usm.my/42959/1/Dr._Yuzaimi_Yaakub-24_pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution Universiti Sains Malaysia
collection USM Institutional Repository
language English
topic RC Internal medicine
spellingShingle RC Internal medicine
Yaakub, Yuzaimi
Relevance of intra operative bacteriology culture in primary total knee replacement
description Prosthetic joint infection following joint replacement is uncommon but can be a devastating complication. The rate of deep infection following primary total knee replacement is less than 2%. However, it remains a challenge to be encountered despite the advances in surgery nowadays. This study was a retrospective cross sectional study. The aim of this study was to determine whether obtaining bacteriology swabs for culture and sensitivity at the time of surgery could help in further reducing the rate of infection following primary total knee replacement. A bacteriology swab of the synovial fluid was taken immediately after opening the capsule of the knee joint and was sent for culture and sensitivity. Out of 140 swabs sent, none was found to be positive. Postoperatively, 2 (1.4%) of the patients developed deep infection whereas 36 (25.7%) developed superficial infection. Intra-operative bacteriology swab in primary total knee replacement has limited role in future prediction of incidence and management of postoperative prosthetic joint infection in total knee joint replacement surgery. This study also showed that there was no association found between risk factors such as age, gender, obesity, diabetes mellitus, rheumatoid arthritis, smoking and prolong duration of surgery, with post-operative superficial and deep infection. Keywords: Bacteriology swabs; primary total knee replacement; deep infection; prosthetic joint infection
format Thesis
qualification_level Master's degree
author Yaakub, Yuzaimi
author_facet Yaakub, Yuzaimi
author_sort Yaakub, Yuzaimi
title Relevance of intra operative bacteriology culture in primary total knee replacement
title_short Relevance of intra operative bacteriology culture in primary total knee replacement
title_full Relevance of intra operative bacteriology culture in primary total knee replacement
title_fullStr Relevance of intra operative bacteriology culture in primary total knee replacement
title_full_unstemmed Relevance of intra operative bacteriology culture in primary total knee replacement
title_sort relevance of intra operative bacteriology culture in primary total knee replacement
granting_institution Universiti Sains Malaysia
granting_department Pusat Pengajian Sains Perubatan
publishDate 2016
url http://eprints.usm.my/42959/1/Dr._Yuzaimi_Yaakub-24_pages.pdf
_version_ 1747821136444391424