Evaluation of Conventional Antibiotic Prophylaxis During a Change of Hip or Knee Infected at a Time

Study Overview
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Brief Summary
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Infection is a serious complications after undergoing total hip replacement. It occurs in about 1% of cases. The optimal treatment of these infections is discussed. The team validated by international publications change strategy of the infected prosthesis at a time. Antibiotic prophylaxis has significantly reduced the infection intraoperative contamination in orthopedic surgery rates. It must be conventionally administered before the surgical incision. In response to infection, it is typically recommended to start this antibiotic after the completion of the deep bacteriological samples, so as not to negate the risk of these samples by the prior administration of antibiotics. This attitude, however, is not formally validated by the scientific literature. In contrast, two recent publications challenge this practice, and suggest the use of a conventional antibiotic prophylaxis even in septic interventions. Our multidisciplinary team opted for a few months for this new strategy. We wish to evaluate the influence of this new approach results in the treatment of infection in total hip or knee.

Official Title
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Evaluation of the Effect of a Conventional Antibiotic Prophylaxis on the Positivity of Intraoperative Bacteriological Samples During a Change of Hip or Knee Infected at a Time

Conditions
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Total Hip Replacement

Intervention / Treatment
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* Other: Retrospective analysis of records


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients operated in service between January 2012 and July 2013 for treatment of an infection of total hip or knee. Exclusion Criteria: patients operated in service before January 2012 and after July 2013 for treatment of an infection of total hip or knee.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Retrospective analysis of records|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| concordance of pre-and intraoperative bacteriological documentation | concordance of pre-and intraoperative bacteriological documentation (division into 3 classes: complete, partial, no - Chi-square test | preoperative; intraoperative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| rates to relapse of the initial infection or a new infection | rates to relapse of the initial infection or a new infection (survival curves according to Kaplan-Meier with log-rank test) | preoperative; intraoperative | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hip replacement, Knee replacement, Knee infection, Hip infection, Antibiotic prophylaxis