Clinical trial NCT05867108: Contribution of the Sonication of Implants to the Diagnosis of Joint Prosthesis Infection: A Retrospective Cohort Study
Official title: Contribution of the Sonication of Implants to the Diagnosis of Joint Prosthesis Infection: Retrospective Cohort Study From 2019 to 2022 at the University Hospitals of Strasbourg
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Prosthesis Related Infection
Keywords: Prosthesis Related Infection
Joint prosthesis infection
Sonication of implants
Cutibacterium acnes
Streptococci
Lead sponsor: University Hospital, Strasbourg, France
Sponsor class: OTHER
First posted: 2023-05-19
Enrollment: 200
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Observational model: CASE_ONLY
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Adult patients (age ≥18 years) have been hospitalized and operated on for a change of hip or knee joint prosthesis between 01/01/2019 and 07/31/2022

Brief summary: Studies on sonication suffer from a heterogeneity which makes their analysis complex, due to the absence of a gold standard allowing positive cases to be defined unequivocally. Thus, the sensitivity of the technique has been assessed on cases defined in different ways, which makes the studies difficult to compare (number of samples taken, number of positive samples, variable duration of culture, etc.). It should nevertheless be noted that the majority of the series conclude with a higher sensitivity than that of standard samples, in particular in the event of a strain with difficult growth (Cutibacterium acnes, deficient Streptococci) or in the event of prior antibiotic therapy.

In the absence of a comparative reference allowing to conclude on the intrinsic performances of sonication as a diagnostic test, it seems interesting to evaluate its contribution in current practice, in particular in the difficult cases where the standard culture does not make it possible to fulfill the criterion. major (zero or only one positive sample). To the knowledge of the investigators, there is no study of this kind, which could make it possible to specify the place of this technique in the diagnostic procedure and to improve the care of patients.


Eligibility criteria: Inclusion criteria:

* Adult patients (age ≥18 years)
* Have been hospitalized and operated on for a change of hip or knee joint prosthesis between 01/01/2019 and 07/31/2022
* Have had at least 3 samples taken for microbiological purposes, pre- or intraoperatively
* the explanted prosthesis must have been analyzed by sonication.
* not opposing the reuse of its data for scientific research purposes

Exclusion criteria:

- Opposition of the patient to the reuse of his data.

Primary outcomes:
measure: Proportion of subjects with only a peri-prosthetic sample whose culture is positive, and for whom the culture of the sonication fluid is positive and consistent with this first sample, with an objective of >5%.
timeFrame: 4 years after implant
Secondary outcomes:
Other outcomes:
Locations:
city: Strasbourg
country: France
facility: ervice de Chirurgie Orthopédique Septique - CHU de Strasbourg - France
Study officials:
affiliation: University Hospitals of Strasbourg
name: Cécile RONDE-OUSTAU, MD
role: STUDY_DIRECTOR
References: