DC Field | Value | Language |
dc.contributor.author | Virlan, Andrei | |
dc.date.accessioned | 2021-09-30T08:43:11Z | |
dc.date.available | 2021-09-30T08:43:11Z | |
dc.date.issued | 2014 | |
dc.identifier.citation | VIRLAN, Andrei. Septic complications of hip arthroplasty. In: MedEspera: the 5th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2014, p. 189. | en_US |
dc.identifier.uri | http://repository.usmf.md/handle/20.500.12710/18043 | |
dc.description | Ortopedy and
Traumatology, State Medical University of Medicine and Pharmacy “Nicolae Testemitanu” | |
dc.description.abstract | Introduction: Septic complications of hip arthroplasty present a complication that can be more critical
than an infection. The incidence of this complications in Republic of Moldova is approximately 1-2 %.
Aim: We report 20 cases of infected hip arthroplasty.
Methods: This is a prospective and retrospective primary analysis of 20 patients, which were
surgery-treated with hip arthroplasty in National Centre of Emergency Medicine, Chisinau, Moldova.
Result: The age of the patients were between 63-81 years. All the patients were assigned
depending on the type of prosthesis: 6 of them had hip cemented prosthesis, 12 of them had noncemented prosthesis and 2 of them had cervicocefalic prosthesis. Depending on the detection of
infection was find: acute infection 6 cases (first 4 weeks); chronic infection 11 cases (4 weeks) and
3 cases detected intraoperatively. Depending on the pathogen agent, in patients with acute infection
was present: 3 cases Staphylococcus Aureus, 1 case of E. coli and 2 cases of P. aeruginosa. The
treatment of patients with acute infections was: antibacterial therapy according to preoperative
antibiogram, debridement and lavage, maintaining the implant and postoperative treatment for 6
weeks.The treatment of patients with chronic infection was: revision, debridement, lavage, removal
of prosthetic components and antibiotic cement spacer and after 6 months-arthroplasty.
Conclusion: The treatment in septic complications of hip arthroplasty depends on the general
condition of the patient (age, comorbidity, immune response), the chronicity of infection and the
bacterial sensibility. Revision is the best solution to chronic infections with the use of an antibiotic
cement spacer. Early diagnosis allows to make the best treatment. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Ministry of Health of the Republic of Moldova, State Medical and Pharmaceutical University Nicolae Testemitanu, Medical Students and Residents Association | en_US |
dc.relation.ispartof | MedEspera: The 5th International Medical Congress for Students and Young Doctors, May 14-17, 2014, Chisinau, Republic of Moldova | en_US |
dc.title | Septic complications of hip arthroplasty | en_US |
dc.type | Other | en_US |
Appears in Collections: | MedEspera 2014
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