Management of prosthetic joint infections in France: a national audit to identify key situations requiring innovation and homogenization - Université Claude Bernard Lyon 1 Accéder directement au contenu
Article Dans Une Revue BMC Infectious Diseases Année : 2021

Management of prosthetic joint infections in France: a national audit to identify key situations requiring innovation and homogenization

Résumé

Background: Prosthetic joint infections (PJI) are one of the most serious complication of arthroplasty. The management of PJI needs a multidisciplinary collaboration between orthopaedic surgeon, infectious disease specialist and microbiologist. In France, the management of PJI is organized around reference centres (CRIOACs). Our main objective was to perform an audit through a questionnaire survey based on clinical cases, to evaluate how French physicians manage PJI. Eligible participants were all physicians involved in care of patients presenting a PJI. Physicians could answer individually, or collectively during a multidisciplinary team meeting dedicated to PJI. The survey consisted as three questionnaires organized in a total of six clinical cases. Results: Answers from the CRIOACs to the three questionnaires were 92, 77, and 53%. Between 32 and 39% of respondents did not administer antibiotic prophylaxis despite positive S. aureus pre-operative documentation. One-stage exchange strategy was widely preferred in all clinical cases, with no difference between CRIOACs and other centres. Rifampicin was prescribed for S. aureus PJI, in a situation with (90-92%) or without any prosthesis (70%). There was no consensus for the total antibiotic regimen duration, with prescriptions from six to 12 weeks for a majority of respondents. Conclusions: Surgical strategy for the management of PJI was homogenous with a preference for a onestage exchange strategy. Medical management was more heterogenous, which reflects the heterogeneity of those infections and difficulties to perform studies with strong conclusions.
Fichier principal
Vignette du fichier
s12879-021-06075-x.pdf (726.52 Ko) Télécharger le fichier
Origine : Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

inserm-03313672 , version 1 (04-08-2021)

Identifiants

Citer

Marion Le Maréchal, Zoé Cavalli, Cécile Batailler, Jean-François Gonzalez, André Ferreira, et al.. Management of prosthetic joint infections in France: a national audit to identify key situations requiring innovation and homogenization. BMC Infectious Diseases, 2021, 21 (1), pp.401. ⟨10.1186/s12879-021-06075-x⟩. ⟨inserm-03313672⟩
28 Consultations
42 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More