Eur J Clin Microbiol Infect Dis DOI 10.1007/s10096-014-2091-1
ARTICLE
Are hip hemiarthroplasty and total hip arthroplasty infections different entities? The importance of hip fractures M. D. del Toro & I. Nieto & F. Guerrero & J. Corzo & A. del Arco & J. Palomino & E. Nuño & J. M. Lomas & C. Natera & J. M. Fajardo & J. Delgado & M. Torres-Tortosa & A. Romero & P. Martín-Rico & M. Á. Muniain & J. Rodríguez-Baño & for the PJIG-SAEI/REIPI group
Received: 16 September 2013 / Accepted: 9 March 2014 # Springer-Verlag Berlin Heidelberg 2014
Abstract Hip hemiarthroplasty (HHA) and total hip arthroplasty (THA) infections are usually considered as one entity; however, they may show important differences. We analyze these differences, as well as predictors of treatment
failure (TF) and poor functional status among patients with prosthetic hip infections (PHIs). A multicenter cohort study of consecutive patients with PHIs was performed. The main outcome variable was TF after the first surgical treatment
PJIG-SAEI: Prosthetic Joint Infection Group of Andalusian Society of Infectious Diseases. REIPI: Spanish Network for Research in Infectious Diseases. M. D. del Toro : M. Á. Muniain : J. Rodríguez-Baño (*) Unidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Avda. Dr. Fedriani 3, 41009 Sevilla, Spain e-mail: [email protected] I. Nieto Unidad Clínica de Traumatología y Cirugía Ortopédica, Hospital Universitario Virgen Macarena, 41009 Sevilla, Spain F. Guerrero Servicio de Medicina Interna, Hospital Universitario Puerta del Mar, 11009 Cádiz, Spain J. Corzo Unidad Clínica de Enfermedades Infecciosas, Hospital de Valme, 41014 Sevilla, Spain A. del Arco Unidad Clínica de Enfermedades Infecciosas, Hospital Costa del Sol, 29603 Marbella, Málaga, Spain J. Palomino Unidad Clínica de Enfermedades Infecciosas, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain
C. Natera Unidad Clínica de Enfermedades Infecciosas, Hospital Reina Sofía, 14004 Córdoba, Spain J. M. Fajardo Unidad Clínica de Enfermedades Infecciosas, Hospital Infanta Elena, 21080 Huelva, Spain J. Delgado Servicio de Medicina Interna, Hospital San Juan de Dios del Aljarafe, 41930 Bormujos, Sevilla, Spain M. Torres-Tortosa Unidad Clínica de Enfermedades Infecciosas, Hospital Punta de Europa, 11207 Algeciras, Cádiz, Spain A. Romero Unidad Clínica de Enfermedades Infecciosas, Hospital de Puerto Real, 11510 Puerto Real, Cádiz, Spain P. Martín-Rico Unidad Clínica de Enfermedades Infecciosas, Hospital Carlos Haya, 29010 Málaga, Spain
E. Nuño Unidad Clínica de Enfermedades Infecciosas, Hospital Virgen de la Victoria, 29010 Málaga, Spain
M. D. del Toro (*) : M. Á. Muniain : J. Rodríguez-Baño Departamento de Medicina, Universidad de Sevilla, 41009 Sevilla, Spain e-mail: [email protected]
J. M. Lomas Unidad Clínica de Enfermedades Infecciosas, Hospital Juan Ramón Jiménez, 21005 Huelva, Spain
Present Address: P. Martín-Rico Hospital de Denia, Alicante, Spain
Eur J Clin Microbiol Infect Dis
performed to treat the infection. Multivariate analysis was used to identify predictors of TF. A total of 127 patients with PHI were included (43 HHA, 84 THA). Patients with HHA infections were more frequently women (88 % vs. 54 %; p
ARTICLE
Are hip hemiarthroplasty and total hip arthroplasty infections different entities? The importance of hip fractures M. D. del Toro & I. Nieto & F. Guerrero & J. Corzo & A. del Arco & J. Palomino & E. Nuño & J. M. Lomas & C. Natera & J. M. Fajardo & J. Delgado & M. Torres-Tortosa & A. Romero & P. Martín-Rico & M. Á. Muniain & J. Rodríguez-Baño & for the PJIG-SAEI/REIPI group
Received: 16 September 2013 / Accepted: 9 March 2014 # Springer-Verlag Berlin Heidelberg 2014
Abstract Hip hemiarthroplasty (HHA) and total hip arthroplasty (THA) infections are usually considered as one entity; however, they may show important differences. We analyze these differences, as well as predictors of treatment
failure (TF) and poor functional status among patients with prosthetic hip infections (PHIs). A multicenter cohort study of consecutive patients with PHIs was performed. The main outcome variable was TF after the first surgical treatment
PJIG-SAEI: Prosthetic Joint Infection Group of Andalusian Society of Infectious Diseases. REIPI: Spanish Network for Research in Infectious Diseases. M. D. del Toro : M. Á. Muniain : J. Rodríguez-Baño (*) Unidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Avda. Dr. Fedriani 3, 41009 Sevilla, Spain e-mail: [email protected] I. Nieto Unidad Clínica de Traumatología y Cirugía Ortopédica, Hospital Universitario Virgen Macarena, 41009 Sevilla, Spain F. Guerrero Servicio de Medicina Interna, Hospital Universitario Puerta del Mar, 11009 Cádiz, Spain J. Corzo Unidad Clínica de Enfermedades Infecciosas, Hospital de Valme, 41014 Sevilla, Spain A. del Arco Unidad Clínica de Enfermedades Infecciosas, Hospital Costa del Sol, 29603 Marbella, Málaga, Spain J. Palomino Unidad Clínica de Enfermedades Infecciosas, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain
C. Natera Unidad Clínica de Enfermedades Infecciosas, Hospital Reina Sofía, 14004 Córdoba, Spain J. M. Fajardo Unidad Clínica de Enfermedades Infecciosas, Hospital Infanta Elena, 21080 Huelva, Spain J. Delgado Servicio de Medicina Interna, Hospital San Juan de Dios del Aljarafe, 41930 Bormujos, Sevilla, Spain M. Torres-Tortosa Unidad Clínica de Enfermedades Infecciosas, Hospital Punta de Europa, 11207 Algeciras, Cádiz, Spain A. Romero Unidad Clínica de Enfermedades Infecciosas, Hospital de Puerto Real, 11510 Puerto Real, Cádiz, Spain P. Martín-Rico Unidad Clínica de Enfermedades Infecciosas, Hospital Carlos Haya, 29010 Málaga, Spain
E. Nuño Unidad Clínica de Enfermedades Infecciosas, Hospital Virgen de la Victoria, 29010 Málaga, Spain
M. D. del Toro (*) : M. Á. Muniain : J. Rodríguez-Baño Departamento de Medicina, Universidad de Sevilla, 41009 Sevilla, Spain e-mail: [email protected]
J. M. Lomas Unidad Clínica de Enfermedades Infecciosas, Hospital Juan Ramón Jiménez, 21005 Huelva, Spain
Present Address: P. Martín-Rico Hospital de Denia, Alicante, Spain
Eur J Clin Microbiol Infect Dis
performed to treat the infection. Multivariate analysis was used to identify predictors of TF. A total of 127 patients with PHI were included (43 HHA, 84 THA). Patients with HHA infections were more frequently women (88 % vs. 54 %; p
