Role of microbiological examination in diagnosis and treatment of periprosthetic infection


Keywords: periprosthetic infection; microbiological investigation; diagnosis; treatment

Abstract

Objective. Determination of optimal tactics of microbiological investigation in patient, suffering periprosthetic infection (PPI), using estimation of trustworthiness of the bacteriological investigations results in preoperative and postoperative periods.

Маterials and methods. On the base of Orthopedic–Traumatological Centre of Kiev's Regional Clinical Hospital through 2016 – 2018 yrs 32 patients were examined with suspicion on presence of PPI. Two Groups of patients were formatted, in whom during preoperative preparation bacteriological investigation was accomplished: Group I – 23 patients, in whom bacteriological investigation of cultures from fistula was done; Group II – 9 patients, in whom the material for culture was taken by puncture, because the fistula aperture in them was absent.

Results. Of 147 preoperative cultures in 83 (56.5%) Gram–positive cocci were revealed, and in 49 (33.3%) – Gram–negative bacteria; while in 15 (10.2%) cultures the development of microflora was not proved. In 22 (68.7%) cases a monoculture was separated, while in 10 (31.3%) – two and more microorganisms.

Conclusion. Diagnosis of PPI constitutes a complex task and demands application of multidisciplinary approach, which supposes close cooperation of physicians–orthopedics and microbiologists.

References

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Author Biographies


N. L. Ankin, Кiev’s Regional Clinical Hospital, Shupyk National Medical Academy of Postgraduate Education, Kiev

Mykola Ankin - MD, professor,
Head of the Department of Orthopedics and Traumatology №2
Shupyk National Medical Academy of Postgraduate Education,
Chief Medical Officer of Municipal Institution of Kyiv Regional Council “Kyiv Regional Clinical Hospital”
(044) 483-13-76,
m.ankin@ukr.net
Communal Institution of Kyiv Regional Council “Kyiv Regional Clinical Hospital”
1, Baggovutivska str., 04107, Kyiv, Ukraine
http://orcid.org/0000-0001-9795-0931


T. M. Petryk, Кiev’s Regional Clinical Hospital

Taras Petryk - PhD, Head of the Orthopedics and Traumatology Center
Kyiv Regional Council “Kyiv Regional Clinical Hospital”
Communal Institution of Kyiv Regional Council “Kyiv Regional Clinical Hospital”
1, Baggovutivska str., 04107, Kyiv, Ukraine
тел. 067-749-15-72,
petryktaras.m.d@gmail.com
http://orcid.org/0000-0002-5319-3921


V. V. Potochilova, Кiev’s Regional Clinical Hospital

Viktoriia Potochilova
Head of bacteriological department of the central laboratory
Kyiv Regional Council “Kyiv Regional Clinical Hospital”
Communal Institution of Kyiv Regional Council “Kyiv Regional Clinical Hospital”
1, Baggovutivska str., 04107, Kyiv, Ukraine
050-387-16-66,
vika.ptch@gmail.com
http://orcid.org/0000-0002-4927-7946


S. A. Solodarenko, Кiev’s Regional Clinical Hospital

Sergey Solodarenko - doctor orthopedist-traumatologist
Orthopedics and Traumatologyy Center
Kyiv Regional Council “Kyiv Regional Clinical Hospital”
Communal Institution of Kyiv Regional Council “Kyiv Regional Clinical Hospital”
1, Baggovutivska str., 04107, Kyiv, Ukraine
067-844-53-63, e-mail: solodarenkos@gmail.com
http://orcid.org/0000-0002-9247-3432


V. A. Ladyka, Кiev’s Regional Clinical Hospital, Shupyk National Medical Academy of Postgraduate Education, Kiev

Viktoriia Ladyka – assistant
Department of Orthopedics and Traumatology №2
Shupyk National Medical Academy of Postgraduate Education
Communal Institution of Kyiv Regional Council “Kyiv Regional Clinical Hospital”
1, Baggovutivska str., 04107, Kyiv, Ukraine
ladika084@gmail.com
http://orcid.org/0000-0002-3796-428x

Published
2019-02-28
How to Cite
Ankin, N. L., Petryk, T. M., Potochilova, V. V., Solodarenko, S. A., & Ladyka, V. A. (2019). Role of microbiological examination in diagnosis and treatment of periprosthetic infection. Klinicheskaia Khirurgiia, 86(3), 52-55. https://doi.org/10.26779/2522-1396.2019.03.52
Section
General Problems of Surgery