Risk Factor and Prevention of Wound Infection after Total Joint Replacement / 中华医院感染学杂志

ABSTRACT

OBJECTIVE To analyze the reason of wound infection after total joint replacement and to present the prophylactic management measures.METHODS Totally 632 total joint replacements in 587 patients between Jul 2002 and Jun 2005 were retrospectively reviewed.There were 445 cases with total hip replacements and 187 cases with total knee replacements.The specimens for bacterial culture were taken from the hands of the surgical staffs,the medical devices and the air flow in the operation theater monthly.RESULTS In this series,5 cases developed wound infections,with 2 cases of total hip replacement and 3 cases of total knee replacement,where 4 cases with deep infections and one case with superficial infection.The total infection rate was 0.79%(5/632).In the 5(infection) cases,there were 2 cases having the same bacterial culture as the air culture.CONCLUSIONS(Improvement) of the management in the operation theater,check of the laminar air flow device regularly,sufficient drainage and prevention of other medical iatrogenic infections are crucial for prevention of the infection after total joint replacement.