Clostridium difficile infection after total joint arthroplasty:: Who is at risk?

被引：26

作者：

Kurd, Mark F. ^{[1
]}

Pulido, Luis ^{[1
]}

Joshi, Ashish ^{[1
]}

Purtill, James J. ^{[1
]}

Parvizi, Javad ^{[1
]}

机构：

[1] Thomas Jefferson Univ, Rothman Inst Orthopaed, Philadelphia, PA 19107 USA

来源：

JOURNAL OF ARTHROPLASTY | 2008年 / 23卷 / 06期

关键词：

arthroplasty; replacement; knee; hip; Clostridium difficile; enterocolitis; pseudomembranous;

D O I：

10.1016/j.arth.2007.10.033

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Clostridium difficile-associated diarrhea is a recognized postoperative complication. However, the exact risk factors for this condition after total joint arthroplasty (TJA) remain unknown. This case-controlled study intended to identify the predisposing factors for this condition. There were 16 cases of C difficile infections after 9880 TJA (0.16% incidence) between January 2001 and May 2006 at our institution. The cases were matched with 32 controls for month/year of surgery and surgeon. This study suggests that patients with deteriorated physical status or those who receive greater than one antibiotic after surgery are at a higher risk for developing C diffcile-associated diarrhea after TJA.

引用

页码：839 / 842

页数：4

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