Sonication of intramedullary nails: Clinically-related infection and contamination

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dc.contributor.author Esteban, J.
dc.contributor.author Sandoval, E.
dc.contributor.author Cordero Ampuero, José
dc.contributor.author Molina-Manso, D.
dc.contributor.author Ortiz-Pérez, A.
dc.contributor.author Fernández-Roblas, R.
dc.contributor.author Gómez-Barrena, E.
dc.contributor.other UAM. Departamento de Cirugía es_ES
dc.date.accessioned 2015-11-25T16:00:18Z
dc.date.available 2015-11-25T16:00:18Z
dc.date.issued 2012
dc.identifier.citation Open Orthopaedics Journal 6 (2012): 255-260 es_ES
dc.identifier.issn 1874-3250 es_ES
dc.identifier.uri http://hdl.handle.net/10486/668977
dc.description.abstract Background and Aim: Sonication is currently considered the best procedure for microbiological diagnosis of implant-related osteoarticular infection, but studies in nail-related infections are lacking. The study aim was to evaluate implant sonication after intramedullary nail explantation, and relate it to microbiological cultures and clinical outcome. Patients and Methods: A study was performed in two University Hospitals from the same city. Thirty-one patients with implanted nails were prospectively included, whether with clinical infection (8 cases) or without (23 cases). Retrieved nails underwent sonication according a previously published protocol. The clinical and microbiological outcome patient was related to the presence of microorganisms in the retrieved implant. Results: Positive results appeared in 15/31 patients (9 with polymicrobial infections) almost doubling those clinically infected cases. The most commonly isolated organisms were Staphylococcus epidermidis (19.2 %) and Staphylococcus aureus (15.4 %). A significant relationship was found between the presence of positive cultures and previous local superficial infection (p=0.019). The presence of usual pathogens was significantly related to clinical infection (p=0.005) or local superficial infection (p=0.032). All patients with positive cultures showed pain diminution or absence of pain after nail removal (15/15), but this only occurred in 8 (out of 16) patients with negative cultures. Conclusions: In patients with previously diagnosed infection or local superficial infection, study of the hardware is mandatory. In cases where pain or patient discomfort is observed, nail sonication can help diagnose the implant colonization with potential pathogens that might require specific treatment to improve the final outcome en_US
dc.description.sponsorship Part of this work was funded by grants from the Comunidad de Madrid (S2009/MAT-1472) and from the CONSOLIDER-INGENIO Program (FUNCOAT-CSD2008- 00023). DMM was funded by a grant from the Fundación Conchita Rábago de Jiménez Díaz en_US
dc.format.extent 6 pag. es_ES
dc.format.mimetype application/pdf en
dc.language.iso eng en
dc.publisher Bentham Open en_US
dc.relation.ispartof Open Orthopaedics Journal en_US
dc.rights © Esteban et al. es_ES
dc.subject.other Intramedullary nail en_US
dc.subject.other Orthopaedic infection en_US
dc.subject.other Sonication en_US
dc.subject.other Infection diagnosis en_US
dc.subject.other Nail removal en_US
dc.subject.other Implant-related infection en_US
dc.title Sonication of intramedullary nails: Clinically-related infection and contamination en_US
dc.type article en
dc.subject.eciencia Medicina es_ES
dc.identifier.publicationfirstpage 255 es_ES
dc.identifier.publicationlastpage 260 es_ES
dc.identifier.publicationvolume 6 es_ES
dc.relation.projectID Comunidad de Madrid. S2009/MAT-1472/BITI es_ES
dc.relation.projectID Gobierno de España. CONSOLIDER-INGENIO FUNCOAT-CSD2008- 00023 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion en
dc.rights.cc Reconocimiento – NoComercial es_ES
dc.rights.accessRights openAccess en
dc.authorUAM Cordero Ampuero, José (258314)


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