Destination Joint Spacers, Reinfection, and Antimicrobial Suppression

Clin Infect Dis. 2019 Aug 30;69(6):1056-1059. doi: 10.1093/cid/ciz062.

Abstract

In this cohort of 51 patients managed with retained "destination spacers" after the resection of infected joint prostheses, the presence of preoperative sinus drainage was significantly associated with reinfection. Chronic antimicrobial suppression after destination-spacer retention did not significantly prevent reinfections.

Keywords: antibiotic spacer retention; antimicrobial suppression; periprosthetic joint infection; total hip arthroplasty; total knee arthroplasty.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anti-Infective Agents* / administration & dosage
  • Arthroplasty, Replacement / adverse effects
  • Arthroplasty, Replacement / instrumentation*
  • Arthroplasty, Replacement / methods*
  • Arthroplasty, Replacement, Hip / adverse effects
  • Arthroplasty, Replacement, Hip / methods
  • Arthroplasty, Replacement, Knee / adverse effects
  • Arthroplasty, Replacement, Knee / methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prosthesis-Related Infections / etiology
  • Prosthesis-Related Infections / prevention & control*
  • Recurrence

Substances

  • Anti-Infective Agents