The Journal of Arthroplasty
Volume 25, Issue 8 , Pages 1231-1234 , December 2010

Use and Cost-Effectiveness of Intraoperative Acid-Fast Bacilli and Fungal Cultures in Assessing Infection of Joint Arthroplasties

  • Veronica M. Wadey, MD, FRCSC

      Affiliations

    • Department of Surgery, Division of Orthopaedic Surgery, Faculty of Medicine, Holland Orthopaedic and Arthritis Centre and Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
    • Corresponding Author InformationReprint requests: Veronica M. Wadey, BPHE, BEd, MD, MA, FRCSC, Department of Surgery, Division of Orthopaedic Surgery, Faculty of Medicine, Holland Orthopaedic and Arthritic Centre and Sunnybrook Health Sciences Centre, University of Toronto, 43 Wellesley Street East, Suite 621, Toronto, Ontario, Canada M4Y 1H1.
    • ,
  • James I. Huddleston, MD, FRCS

      Affiliations

    • Department of Orthopaedic Surgery, Stanford Hospital and Clinics, Stanford University Medical Center, School of Medicine, Stanford, California
    • ,
  • Stuart B. Goodman, MD, PhD, FRCS

      Affiliations

    • Department of Orthopaedic Surgery, Stanford Hospital and Clinics, Stanford University Medical Center, School of Medicine, Stanford, California
    • ,
  • David J. Schurman, MD, FRCS

      Affiliations

    • Department of Orthopaedic Surgery, Stanford Hospital and Clinics, Stanford University Medical Center, School of Medicine, Stanford, California
    • ,
  • William J. Maloney, MD, FRCS

      Affiliations

    • Department of Orthopaedic Surgery, Stanford Hospital and Clinics, Stanford University Medical Center, School of Medicine, Stanford, California
    • ,
  • Ellen J. Baron, PhD

      Affiliations

    • Department of Pathology, Stanford Hospital and Clinics, Stanford University Medical Center, School of Medicine, Stanford, CA, California

Received 7 March 2009 ,Accepted 24 August 2009.

References 

  1. Lavernia C, Lee DJ, Hernandez VH. The increasing financial burden of knee revision surgery in the United States. Clin Orthop Relat Res. 2006;446:221
  2. Pal B, et al. Routine synovial fluid culture, Is it necessary? Lessons from an audit. Br J Rheumatol. 1997;36:116
  3. Pal B, et al. Is routine synovial fluid analysis necessary? Lessons and recommendations from an audit. Rheumatol Int. 1999;18:181
  4. Laffer RR, et al. Outcome of prosthetic knee-associated infection: evaluation of 40 consecutive episodes at a single centre. Clin Microbiol Infect. 2006;12:
  5. Atkins BI, et al. Prospective evaluation of criteria for microbiological diagnosis of prosthetic-joint infection at revision arthroplasty. The OSIRIS Collaborative Study Group. J Clin Microbiol. 1998;36:2932
  6. Chee CB, et al. Comparison of sensitivities of two commercial gamma interferon release assays for pulmonary tuberculosis. J Clin Microbiol. 2008;46:1935
  7. Spangehl M, et al. Prospective analysis of preoperative and intraoperative investigations for diagnosis of infection at the sites of two hundred and two revision total hip arthroplasties. J Bone Joint Surg Am. 1999;81:672
  8. Ferney BJ, Blumenfeld TJ, Bargar WL. Time to revision of primary THA is shorter for specialists than nonspecialists. Clin Orthop Relat Res. 2007;465:175
  9. Whiteside LA. Techniques and technologies in revision knee arthroplasty. J Arthroplasty. 2007;22(4 Suppl 1):68
  10. Wolk DM, et al. Rapid detection of Staphylococcus aureus and methicillin-resistant S. aureus (MRSA) in wound specimens and blood cultures: multicenter preclinical evaluation of the Cepheid Xpert MRSA/SA skin and soft tissue and blood culture assays. J Clin Microbiol. 2009;47:823
  11. Rossney AS, et al. Evaluation of the Xpert methicillin-resistant Staphylococcus aureus (MRSA) using the GeneXpert real-time PCR platform for rapid detection of MRSA from screening specimens. J Clin Microbiol. 2008;46:3285
  12. Zimmerli W. Prosthetic-joint-associated infections. Best Pract Res Clin Rheumatol. 2006;20:1045
  13. Bauer TW, et al. Diagnosis of periprosthetic infection. J Bone Joint Surg Am. 2006;88:869

 No benefits or funds were received in support of the study.

PII: S0883-5403(09)00433-1

doi: 10.1016/j.arth.2009.08.018

The Journal of Arthroplasty
Volume 25, Issue 8 , Pages 1231-1234 , December 2010

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