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DC Field | Value | Language |
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dc.contributor.author | Grimwade K. | en |
dc.contributor.author | Leung P. | en |
dc.contributor.author | Sud A. | en |
dc.contributor.author | Nagendra V. | en |
dc.contributor.author | Chean R. | en |
dc.contributor.author | Lemoh C. | en |
dc.contributor.author | Mutalima N. | en |
dc.contributor.author | Sehu M. | en |
dc.contributor.author | Torda A. | en |
dc.contributor.author | Aung T. | en |
dc.contributor.author | Graves S. | en |
dc.contributor.author | Paterson D. | en |
dc.contributor.author | Davis J. | en |
dc.contributor.author | Manning L. | en |
dc.contributor.author | Metcalf S. | en |
dc.contributor.author | Clark B. | en |
dc.contributor.author | Robinson J.O. | en |
dc.contributor.author | Huggan P. | en |
dc.contributor.author | Luey C. | en |
dc.contributor.author | McBride S. | en |
dc.contributor.author | Aboltins C. | en |
dc.contributor.author | Nelson R. | en |
dc.contributor.author | Campbell D. | en |
dc.contributor.author | Solomon L.B. | en |
dc.contributor.author | Schneider K. | en |
dc.contributor.author | Loewenthal M. | en |
dc.contributor.author | Yates P. | en |
dc.contributor.author | Athan E. | en |
dc.contributor.author | Cooper D. | en |
dc.contributor.author | Rad B. | en |
dc.contributor.author | Allworth T. | en |
dc.contributor.author | Reid A. | en |
dc.contributor.author | Read K. | en |
dc.date.accessioned | 2021-05-14T08:58:45Z | en |
dc.date.available | 2021-05-14T08:58:45Z | en |
dc.date.copyright | 2020 | en |
dc.date.created | 20210323 | en |
dc.date.issued | 2021-03-23 | en |
dc.identifier.citation | Open Forum Infectious Diseases. 7 (5) (no pagination), 2020. Article Number: 068. Date of Publication: 2020. | en |
dc.identifier.issn | 2328-8957 (electronic) | en |
dc.identifier.uri | https://repository.monashhealth.org/monashhealthjspui/handle/1/26905 | en |
dc.description.abstract | Background. Periprosthetic joint infection (PJI) is a devastating complication of joint replacement surgery. Most observational studies of PJI are retrospective or single-center, and reported management approaches and outcomes vary widely. We hypothesized that there would be substantial heterogeneity in PJI management and that most PJIs would present as late acute infections occurring as a consequence of bloodstream infections. Methods. The Prosthetic joint Infection in Australia and New Zealand, Observational (PIANO) study is a prospective study at 27 hospitals. From July 2014 through December 2017, we enrolled all adults with a newly diagnosed PJI of a large joint. We collected data on demographics, microbiology, and surgical and antibiotic management over the first 3 months postpresentation. Results. We enrolled 783 patients (427 knee, 323 hip, 25 shoulder, 6 elbow, and 2 ankle). The mode of presentation was late acute (30 days postimplantation and 7 days of symptoms; 351, 45%), followed by early (30 days postimplantation; 196, 25%) and chronic (30 days postimplantation with 30 days of symptoms; 148, 19%). Debridement, antibiotics, irrigation, and implant retention constituted the commonest initial management approach (565, 72%), but debridement was moderate or less in 142 (25%) and the polyethylene liner was not exchanged in 104 (23%). Conclusions. In contrast to most studies, late acute infection was the most common mode of presentation, likely reflecting hematogenous seeding. Management was heterogeneous, reflecting the poor evidence base and the need for randomized controlled trials.Copyright © 2020 Oxford University Press. All rights reserved. | en |
dc.language | en | en |
dc.language | English | en |
dc.publisher | Oxford University Press | en |
dc.relation.ispartof | Open Forum Infectious Diseases | - |
dc.title | Clinical Characteristics, Etiology, and Initial Management Strategy of Newly Diagnosed Periprosthetic Joint Infection: A Multicenter, Prospective Observational Cohort Study of 783 Patients. | en |
dc.type | Review | en |
dc.identifier.affiliation | Infectious Diseases | en |
dc.type.studyortrial | Observational study (cohort, case-control, cross sectional or survey) | - |
dc.identifier.doi | http://monash.idm.oclc.org/login?url= | - |
dc.identifier.doi | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1093/OFID/OFAA068 | en |
dc.publisher.place | United States | en |
dc.identifier.source | 2011098215 | en |
dc.identifier.institution | (Manning, Graves, Paterson, Davis) Department of Infectious Diseases, Fiona Stanley Hospital, Murdoch, WA, Australia (Metcalf) Medical School, University Western Australia, Perth, WA, Australia (Clark) Department of Infectious Diseases, Christchurch Hospital, Christchurch, New Zealand (Robinson) Department of Infectious Diseases, Royal Perth Hospital, Perth, WA, Australia (Huggan) Department of Infectious Diseases, Waikato Hospital, Hamilton, New Zealand (Luey) Counties Manukau District Health Board, Auckland, New Zealand (McBride) Department of Infectious Diseases, Northern Health, Melbourne, VIC, Australia (Aboltins) Northern Clinical School, University of Melbourne, Melbourne, VIC, Australia (Nelson) Department of Infectious Diseases, Royal Adelaide Hospital, Adelaide, SA, Australia (Campbell) Department of Orthopadic Surgery, Royal Adelaide Hospital, Adelaide, SA, Australia (Solomon) University of Adelaide, Adelaide, SA, Australia (Schneider) Department of Infectious Diseases, John Hunter Hospital, Newcastle, NSW, Australia (Loewenthal) Department of Orthopaedic Surgery, Fiona Stanley Hospital, Murdoch, WA, Australia (Yates) Department of Infectious Diseases, Barwon Health, Deakin University, Geelong, VIC, Australia (Athan) Department of Infectious Diseases, Barwon Health, Deakin University, Geelong, VIC, Australia (Cooper) Department of Infectious Diseases, Wollongong Hospital, Wollongong, NSW, Australia (Rad) Department of Infectious Diseases, North Shore Hospital, Auckland, New Zealand (Allworth) Department of Microbiology and Infectious Diseases, Royal Hobart Hospital, Hobart, TA, Australia (Reid) Department of Infectious Diseases, Nepean Hospital, Kingswood, NSW, Australia (Read) Department of Infectious Diseases, Liverpool Hospital, Liverpool, NSW, Australia (Leung) Department of Infectious Diseases, Latrobe Regional Hospital, Traralgon, West, VIC, Australia (Sud) Department of Infectious Diseases, Dandenong Hospital, Dandenong, VIC, Australia (Nagendra) Department of Infectious Diseases, Tauranga Hospital, Tauranga, New Zealand (Chean) Department of Infectious Diseases, Logan Hospital, Meadowbrook, QLD, Australia (Lemoh) Faculty of Medicine, Unsw Sydney, Prince of Wales Hospital, Randwick, NSW, Australia (Mutalima) Department of Infectious Diseases, Redcliffe, Hospital, Redcliffe, QLD, Australia (Grimwade) Australian Orthopaedic Association National Joint Replacement Registry, Adelaide, SA, Australia (Sehu) School of Surgery, University of South Australia, Adelaide, SA, Australia (Torda) Uq Centre for Clinical Research, University of Queensland, Brisbane, QLD, Australia (Aung) Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia | en |
dc.description.address | L. Manning, Department of Infectious Diseases, Fiona Stanley Hospital, Murdoch, WA, Australia. E-mail: aurens.manning@uwa.edu.au | en |
dc.description.publicationstatus | Embase | en |
dc.rights.statement | Copyright 2021 Elsevier B.V., All rights reserved. | en |
dc.subect.keywords | Arthroplasty Infection Artificial Joint Infection Periprosthetic Jo Int Infection. | en |
dc.identifier.authoremail | Manning L.; aurens.manning@uwa.edu.au | en |
dc.identifier.affiliationext | (Manning, Graves, Paterson, Davis) Department of Infectious Diseases, Fiona Stanley Hospital, Murdoch, WA, Australia | - |
dc.identifier.affiliationext | (Metcalf) Medical School, University Western Australia, Perth, WA, Australia | - |
dc.identifier.affiliationext | (Clark) Department of Infectious Diseases, Christchurch Hospital, Christchurch, New Zealand | - |
dc.identifier.affiliationext | (Robinson) Department of Infectious Diseases, Royal Perth Hospital, Perth, WA, Australia | - |
dc.identifier.affiliationext | (Huggan) Department of Infectious Diseases, Waikato Hospital, Hamilton, New Zealand | - |
dc.identifier.affiliationext | (Luey) Counties Manukau District Health Board, Auckland, New Zealand | - |
dc.identifier.affiliationext | (McBride) Department of Infectious Diseases, Northern Health, Melbourne, VIC, Australia | - |
dc.identifier.affiliationext | (Aboltins) Northern Clinical School, University of Melbourne, Melbourne, VIC, Australia | - |
dc.identifier.affiliationext | (Nelson) Department of Infectious Diseases, Royal Adelaide Hospital, Adelaide, SA, Australia | - |
dc.identifier.affiliationext | (Campbell) Department of Orthopadic Surgery, Royal Adelaide Hospital, Adelaide, SA, Australia | - |
dc.identifier.affiliationext | (Solomon) University of Adelaide, Adelaide, SA, Australia | - |
dc.identifier.affiliationext | (Schneider) Department of Infectious Diseases, John Hunter Hospital, Newcastle, NSW, Australia | - |
dc.identifier.affiliationext | (Loewenthal) Department of Orthopaedic Surgery, Fiona Stanley Hospital, Murdoch, WA, Australia | - |
dc.identifier.affiliationext | (Yates) Department of Infectious Diseases, Barwon Health, Deakin University, Geelong, VIC, Australia | - |
dc.identifier.affiliationext | (Athan) Department of Infectious Diseases, Barwon Health, Deakin University, Geelong, VIC, Australia | - |
dc.identifier.affiliationext | (Cooper) Department of Infectious Diseases, Wollongong Hospital, Wollongong, NSW, Australia | - |
dc.identifier.affiliationext | (Rad) Department of Infectious Diseases, North Shore Hospital, Auckland, New Zealand | - |
dc.identifier.affiliationext | (Allworth) Department of Microbiology and Infectious Diseases, Royal Hobart Hospital, Hobart, TA, Australia | - |
dc.identifier.affiliationext | (Reid) Department of Infectious Diseases, Nepean Hospital, Kingswood, NSW, Australia | - |
dc.identifier.affiliationext | (Read) Department of Infectious Diseases, Liverpool Hospital, Liverpool, NSW, Australia | - |
dc.identifier.affiliationext | (Leung) Department of Infectious Diseases, Latrobe Regional Hospital, Traralgon, West, VIC, Australia | - |
dc.identifier.affiliationext | (Nagendra) Department of Infectious Diseases, Tauranga Hospital, Tauranga, New Zealand | - |
dc.identifier.affiliationext | (Chean) Department of Infectious Diseases, Logan Hospital, Meadowbrook, QLD, Australia | - |
dc.identifier.affiliationext | (Lemoh) Faculty of Medicine, Unsw Sydney, Prince of Wales Hospital, Randwick, NSW, Australia | - |
dc.identifier.affiliationext | (Mutalima) Department of Infectious Diseases, Redcliffe, Hospital, Redcliffe, QLD, Australia | - |
dc.identifier.affiliationext | (Grimwade) Australian Orthopaedic Association National Joint Replacement Registry, Adelaide, SA, Australia | - |
dc.identifier.affiliationext | (Sehu) School of Surgery, University of South Australia, Adelaide, SA, Australia | - |
dc.identifier.affiliationext | (Torda) Uq Centre for Clinical Research, University of Queensland, Brisbane, QLD, Australia | - |
dc.identifier.affiliationext | (Aung) Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia | - |
dc.identifier.affiliationmh | (Sud) Department of Infectious Diseases, Dandenong Hospital, Dandenong, VIC, Australia | - |
item.cerifentitytype | Publications | - |
item.fulltext | No Fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.grantfulltext | none | - |
item.openairetype | Review | - |
crisitem.author.dept | Refugee Health and Wellbeing | - |
Appears in Collections: | Articles |
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