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Efficacy of microbiological culturing in the diagnostics of joint and periprosthetic infections
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To evaluate the efficacy of conventional microbiological examinations in the diagnostics of septic joint and periprosthetic inflammations.Evidence Level IV, retrospective clinical study of case series. Patients treated with small and large joint septic inflammations or with periprosthetic joint infections (PJI) were entered into the study. Demographics, microbiological cultures and inflammatory mediators were evaluated.Between 2012 and 2016, total of 1116 hip and 241 knee surgeries were performed at our Department in relation to prostheses; including primary and revision arthroplasties and further surgeries due to PJI. During this period, 72 patients were operated with large joints infections or PJI and another 65 patients were treated due to small joint infections.The main outcome of interest was to evaluate the sensitivity of conventional microbiological cultures in the primary diagnostics of joint and periprosthetic infections.The most frequent bacteria strains were the Staphylococci: in 43 cases (22.16%) Staphylococcus aureus, in 22 cases (11.34%) coagulase-negative Staphylococcus, in 3 cases (1.54%) Staphylococcus epidermidis and in 4 cases (2.06%) methicillin-resistant S. aureus (MRSA) were detected. In 30 cases (21.88%), the primary microbiological investigation could not reveal the presence of bacteria.Based on our data, the efficacy of conventional microbiological testing in the diagnostics of different type of joint infections is questionable. Therefore, further studies are warranted to evaluate the efficacy of novel diagnostic testing tools in prospective randomized controlled trials.
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Biofizikai Intézet (PTE / ÁOK); Orvosi Mikrobiológiai és Immunitástani Intézet (PTE / ÁOK); Traumatológiai és Kézsebészeti Klinika (PTE / ÁOK)
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<div class="JournalArticle Publication short-list"> <div class="authors"> <span class="author-name" mtid="10064370"> <a href="/gui2/?type=authors&mode=browse&sel=10064370" target="_blank">Dandé, Árpád</a> </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10025531"> <a href="/gui2/?type=authors&mode=browse&sel=10025531" target="_blank">Nöt, László G ✉</a> </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10016437"> <a href="/gui2/?type=authors&mode=browse&sel=10016437" target="_blank">Bűcs, Gábor</a> </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10005896"> <a href="/gui2/?type=authors&mode=browse&sel=10005896" target="_blank">Kocsis, Béla</a> </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10006162"> <a href="/gui2/?type=authors&mode=browse&sel=10006162" target="_blank">Lőrinczy, Dénes</a> </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10016655"> <a href="/gui2/?type=authors&mode=browse&sel=10016655" target="_blank">Wiegand, Norbert</a> </span> <span class="author-type"> </span> </div ><div class="title"><a href="/gui2/?mode=browse¶ms=publication;31206257" mtid="31206257" target="_blank">Efficacy of microbiological culturing in the diagnostics of joint and periprosthetic infections</a></div> <div class="pub-info"> <span class="journal-title">INJURY: INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED</span> <span class="journal-volume">52</span> : <span class="journal-issue">Suppl 1.</span> <span class="page"> pp. S48-S52. , 5 p. </span> <span class="year">(2021)</span> </div> <div class="pub-end"><div class="identifier-list"> <span class="identifiers"> <span class="id identifier oa_PAY" title=" Fizetős "> <a style="color:blue" title="10.1016/j.injury.2020.02.058" target="_blank" href="https://doi.org/10.1016/j.injury.2020.02.058"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000629183400010" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000629183400010"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85080112737" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85080112737"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="32122626" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=32122626&dopt=Abstract"> PubMed </a> </span> </span> </div> <div class="short-pub-prop-list"> <span class="short-pub-mtid"> Közlemény:31206257 </span> <span class="status-holder"><span class="status-data status-VALIDATED"> Egyeztetett </span></span> <span class="pub-core">Forrás Idéző </span> <span class="pub-type">Folyóiratcikk (Szakcikk ) </span> <!-- && !record.category.scientific --> <span class="pub-category">Tudományos</span> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 3</span> | Független: 3 | Függő: 0 | Nem jelölt: 0 | WoS jelölt: 2 | Scopus jelölt: 3 | WoS/Scopus jelölt: 3 | DOI jelölt: 3 </div> </div> </div> </div><div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10064370"><a href="/gui2/?type=authors&mode=browse&sel=10064370" target="_blank">Dandé Árpád (<span class="authorship-author-name">Dandé Árpád Levente</span> <span class="authorAux-mtmt"> Traumatológia- Ortopédia</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Traumatológiai és Kézsebészeti Klinika</span> ; <span class="author-name" mtid="10025531"><a href="/gui2/?type=authors&mode=browse&sel=10025531" target="_blank">Nöt László G ✉ (<span class="authorship-author-name">Nőt László Gergely</span> <span class="authorAux-mtmt"> Ortopédia, traumatológia</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Traumatológiai és Kézsebészeti Klinika</span> ; <span class="author-name" mtid="10016437"><a href="/gui2/?type=authors&mode=browse&sel=10016437" target="_blank">Bűcs Gábor (<span class="authorship-author-name">Bűcs Gábor</span> <span class="authorAux-mtmt"> Traumatológia</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Traumatológiai és Kézsebészeti Klinika</span> ; <span class="author-name" mtid="10005896"><a href="/gui2/?type=authors&mode=browse&sel=10005896" target="_blank">Kocsis Béla (<span class="authorship-author-name">Kocsis Béla</span> <span class="authorAux-mtmt"> Orvosi mikrobiológia</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Orvosi Mikrobiológiai és Immunitástani Intézet</span> ; <span class="author-name" mtid="10006162"><a href="/gui2/?type=authors&mode=browse&sel=10006162" target="_blank">Lőrinczy Dénes (<span class="authorship-author-name">Lőrinczy Dénes</span> <span class="authorAux-mtmt"> Biofizika</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Biofizikai Intézet</span> ; <span class="author-name" mtid="10016655"><a href="/gui2/?type=authors&mode=browse&sel=10016655" target="_blank">Wiegand Norbert (<span class="authorship-author-name">Wiegand Norbert</span> <span class="authorAux-mtmt"> A vázizomrendszer sérült struktúráinak vizsgála...</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Traumatológiai és Kézsebészeti Klinika</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse¶ms=publication;31206257" target="_blank">Efficacy of microbiological culturing in the diagnostics of joint and periprosthetic infections</a></div> <div> <span class="journal-title">INJURY: INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/0020-1383">0020-1383</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1879-0267">1879-0267</a>)</span>: <span class="journal-volume">52</span> <span class="journal-issue">Suppl 1.</span> <span class="page"> pp S48-S52 </span> <span class="year">(2021)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_PAY" title=" Fizetős "> <a style="color:blue" title="10.1016/j.injury.2020.02.058" target="_blank" href="https://doi.org/10.1016/j.injury.2020.02.058"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000629183400010" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000629183400010"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85080112737" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85080112737"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="32122626" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=32122626&dopt=Abstract"> PubMed </a> </span> </span> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 3</span> | Független: 3 | Függő: 0 | Nem jelölt: 0 | WoS jelölt: 2 | Scopus jelölt: 3 | WoS/Scopus jelölt: 3 | DOI jelölt: 3 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;31206257&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 3 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 31206257</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">PubMed XML</span> </div> <div class="lastModified">Utolsó módosítás: 2023.01.27. 08:15 Milánkovics Róbert (PTE ÁOK admin 4) </div> </div></div>