Is asymptomatic bacteriuria a risk factor for prosthetic joint infection?

ABSTRACT:

Background

Infection is a major complication after total joint arthroplasty. The urinary tract is a possible source of surgical site contamination, but the role of asymptomatic bacteriuria (ASB) before elective surgery and the subsequent risk of infection is poorly understood.

Methods

Candidates for total hip or total knee arthroplasty were reviewed in a multicenter cohort study. A urine sample was cultured in all patients, and those with ASB were identified. Preoperative antibiotic treatment was decided on an individual basis, and it was not mandatory or randomized. The primary outcome was prosthetic joint infection (PJI) in the first postoperative year.

Results

A total of 2497 patients were enrolled. The prevalence of ASB was 12.1% (303 of 2497), 16.3% in women and

SUBMITTER: Sousa R 

PROVIDER: S-EPMC4305141 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature