Effect of Sonication on Periprosthetic Joint Infection Treatment Strategy.

Bezmialem Vakif University

Status: Unknown

Conditions: Prosthesis-Related Infections; Hip Prosthesis Infection; Biofilm; Joint Infection

Treatments: Diagnostic Test: Sonication method

Study type: Observational

Funder types: Other

Identifiers

NCT04304885

28.02.2020-02

Details and patient eligibility

About

It is not known in the literature how much sonication affects the patient's treatment. Another important issue is that the place of this method in diagnosis is not clear. The aim of this study is to contribute to the literature on this issue and to determine the sensitivity and specificity of sonication prospectively using the new definition and effect of sonication on the treatment strategy in terms of infection in patients with PJI.

Full description

Total knee and hip arthroplasties are successful surgical procedures that are widely applied all over the world and provide high patient satisfaction and increased quality of life. Periprosthetic joint infection (PJI), is a serious complication that negatively affects the targeted result, decreases patient satisfaction, and increases morbidity and mortality after total joint replacement. Another important issue, the previous infection is the most important reason for the failure of surgery in revision arthroplasty. It is known that the success of PJI treatment seriously can be affected by the type of microorganism and antibiotic sensitivity. Therefore, microbiological examination methods are always of interest, and one of them is the sonication method.

Enrollment: 56 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients scheduled for revision arthroplasty (aseptic revision, septic revision, instability, and periprosthetic fracture)

Exclusion criteria

• who do not accept to participate in research
• insufficient data for new definition criteria
• acute periprosthetic infections
• patients with systemic inflammatory disease

Trial design

56 participants in 1 patient group

Sonication method

Description:

The treatment strategies of all patients will be based on the cultural results to be made by the sonication method.

Treatment:

Diagnostic Test: Sonication method