Role of asymptomatic bacteriuria on early periprosthetic joint infection after hip hemiarthroplasty. BARIFER randomized clinical trial.
Eur J Clin Microbiol Infect Dis
; 40(11): 2411-2419, 2021 Nov.
Article
in En
| MEDLINE
| ID: mdl-33864153
ABSTRACT
PURPOSE:
To evaluate preoperative asymptomatic bacteriuria (ASB) treatment to reduce early-periprosthetic joint infections (early-PJIs) after hip hemiarthroplasty (HHA) for fracture.METHODS:
Open-label, multicenter RCT comparing fosfomycin-trometamol versus no intervention with a parallel follow-up cohort without ASB. PRIMARYOUTCOME:
early-PJI after HHA.RESULTS:
Five hundred ninety-four patients enrolled (mean age 84.3); 152(25%) with ASB (77 treated with fosfomycin-trometamol/75 controls) and 442(75%) without. Despite the study closed without the intended sample size, ASB was not predictive of early-PJI (OR 1.06 [95%CI 0.33-3.38]), and its treatment did not modify early-PJI incidence (OR 1.03 [95%CI 0.15-7.10]).CONCLUSIONS:
Neither preoperative ASB nor its treatment appears to be risk factors of early-PJI after HHA. ClinicalTrials.gov Identifier Eudra CT 2016-001108-47.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Bacteriuria
/
Prosthesis-Related Infections
/
Arthroplasty, Replacement, Hip
/
Joint Diseases
Type of study:
Clinical_trials
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
En
Journal:
Eur J Clin Microbiol Infect Dis
Journal subject:
DOENCAS TRANSMISSIVEIS
/
MICROBIOLOGIA
Year:
2021
Document type:
Article
Affiliation country:
Spain