Preoperative asymptomatic leucocyturia and early prosthetic joint infections in patients undergoing joint arthroplasty

J Arthroplasty. 2014 Mar;29(3):473-6. doi: 10.1016/j.arth.2013.07.028. Epub 2013 Aug 29.

Abstract

Prosthetic joint infection (PJI) is associated with a higher mortality, morbidity and economic costs. Although it is well known that the presence of urinary tract infection (UTI) is associated with PJI, few investigations evaluated the preoperative asymptomatic leukocyturia (ASL) and the possible relationship with early PJI. We reviewed the records of 739 patients performed primary joint arthroplasty. A total of 131 patients had preoperative ASL (17.7%) and 7 of 739 patients (0.9%) had early PJI. Preoperative ASL was not confirmed as a risk factor for early PJI on the multivariate regression analysis with an adjusted OR of 1.04 (P>0.05). Therefore, it should not be considered as a reason for postponement of total joint arthroplasty.

Keywords: asymptomatic leukocyturia; prosthetic joint infections; total hip arthroplasty; total knee arthroplasty; urinary tract infection.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / adverse effects
  • Arthroplasty, Replacement, Knee / adverse effects
  • Contraindications
  • Female
  • Humans
  • Joint Diseases / surgery*
  • Leukocytes*
  • Male
  • Middle Aged
  • Preoperative Period
  • Prosthesis-Related Infections / etiology
  • Prosthesis-Related Infections / urine*
  • Retrospective Studies
  • Risk Factors
  • Urine / cytology*
  • Young Adult