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Effect of the COVID-19 Pandemic on Rates of Ninety-Day Peri-Prosthetic Joint and Surgical Site Infections after Primary Total Joint Arthroplasty: A Multicenter, Retrospective Study.
Humphrey, Tyler; Daniell, Hayley; Chen, Antonia F; Hollenbeck, Brian; Talmo, Carl; Fang, Christopher J; Smith, Eric L; Niu, Ruijia; Melnic, Christopher M; Hosseinzadeh, Shayan; Bedair, Hany S.
  • Humphrey T; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
  • Daniell H; Kaplan Joint Center, Newton-Wellesley Hospital, Newton, Massachusetts, USA.
  • Chen AF; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
  • Hollenbeck B; Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
  • Talmo C; Department of Infectious Disease, New England Baptist Hospital, Dedham, Massachusetts, USA.
  • Fang CJ; Department of Orthopaedic Surgery, New England Baptist Hospital, Dedham, Massachusetts, USA.
  • Smith EL; Department of Infectious Disease, New England Baptist Hospital, Dedham, Massachusetts, USA.
  • Niu R; Department of Orthopaedic Surgery, New England Baptist Hospital, Dedham, Massachusetts, USA.
  • Melnic CM; Department of Orthopaedic Surgery, New England Baptist Hospital, Dedham, Massachusetts, USA.
  • Hosseinzadeh S; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
  • Bedair HS; Kaplan Joint Center, Newton-Wellesley Hospital, Newton, Massachusetts, USA.
Surg Infect (Larchmt) ; 23(5): 458-464, 2022 Jun.
Article in English | MEDLINE | ID: covidwho-1901048
ABSTRACT

Background:

The impact of the coronavirus 2019 (COVID-19) pandemic on the rate of primary total joint arthroplasty (TJA) peri-prosthetic joint infection (PJI) and superficial surgical site infections (SSI) is currently unknown. The purpose of this multicenter study was to evaluate any changes in the rates of 90-day PJI or 30-day SSI, including trends in microbiology of the infections, during the COVID-19 pandemic compared to the three years prior. Patients and

Methods:

An Institutional Review Board-approved, multicenter, retrospective study was conducted with five participating academic institutions across two healthcare systems in the northeastern United States. Primary TJA patients from the years 2017-2019 were grouped as a pre-COVID-19 pandemic cohort and patients from the year 2020 were grouped as a COVID-19 pandemic cohort. Differences in patient demographics, PJI, SSI, and microbiology between the two cohorts were assessed.

Results:

A total of 14,844 TJAs in the pre-COVID-19 pandemic cohort and 5,453 TJAs in the COVID-19 pandemic cohort were evaluated. There were no substantial differences of the combined 90-day PJI and 30-day superficial SSI rates between the pre-COVID-19 pandemic cohort (0.35%) compared with the COVID-19 pandemic cohort (0.26%; p = 0.303).

Conclusions:

This study did not find any change in the rates of 90-day PJI or 30-day superficial SSI in patients undergoing primary TJA between a pre-COVID-19 pandemic and COVID-19 pandemic cohort. Larger national database studies may identify small but substantial differences in 90-day PJI and 30-day superficial SSI rates between these two time periods. Our data may support continued efforts to maintain high compliance with hand hygiene, use of personal protective equipment, and limited hospital visitation whenever possible.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Arthritis, Infectious / Prosthesis-Related Infections / Arthroplasty, Replacement, Hip / Arthroplasty, Replacement, Knee / COVID-19 Type of study: Controlled clinical trial / Etiology study / Observational study / Prognostic study / Risk factors Limits: Humans Language: English Journal: Surg Infect (Larchmt) Journal subject: Bacteriology Year: 2022 Document Type: Article Affiliation country: Sur.2022.012

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Arthritis, Infectious / Prosthesis-Related Infections / Arthroplasty, Replacement, Hip / Arthroplasty, Replacement, Knee / COVID-19 Type of study: Controlled clinical trial / Etiology study / Observational study / Prognostic study / Risk factors Limits: Humans Language: English Journal: Surg Infect (Larchmt) Journal subject: Bacteriology Year: 2022 Document Type: Article Affiliation country: Sur.2022.012