Prosthetic joint infections in the elderly
- 22 June 2015
- journal article
- review article
- Published by Springer Science and Business Media LLC in Infection
- Vol. 43 (6), 629-637
- https://doi.org/10.1007/s15010-015-0806-6
Abstract
Recent age-projection showed that the number of elderly is expected to rise significantly over the next decades worldwide. Accordingly, the prevalence of chronic and degenerative diseases will increase, among them osteoarthritis, resulting in more and older patients undergoing total joint arthroplasty and thereby also being at risk for associated complications. Among those, prosthetic joint infections are feared as threatening complication with a mortality approaching 8 % and causing long-term antibiotic therapy, immobilization and often account for operative revision. This review summarizes epidemiological, microbiological, and therapeutic aspects of prosthetic joint infection in the elderly population. Considering the increase in the number of PJIs in the forthcoming years in most countries, a common action to reduce the associated morbidity and mortality is strongly encouraged in Europe.Keywords
This publication has 71 references indexed in Scilit:
- Preoperative waiting time increased the risk of periprosthetic infection in patients with femoral neck fractureActa Orthopaedica, 2013
- Methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci, and other Gram-positives in healthcareCurrent Opinion in Infectious Diseases, 2012
- Patient-related Risk Factors for Postoperative Mortality and Periprosthetic Joint Infection in Medicare Patients Undergoing TKAClinical Orthopaedics and Related Research, 2012
- Prosthetic Joint Infection Caused by Mycobacterium alvei in an Elderly PatientJournal of Clinical Microbiology, 2011
- Escherichia coli Variants in Periprosthetic Joint Infection: Diagnostic Challenges with Sessile Bacteria and SonicationJournal of Clinical Microbiology, 2010
- Waves of resistance: Staphylococcus aureus in the antibiotic eraNature Reviews Microbiology, 2009
- Amplification-Based DNA Analysis in the Diagnosis of Prosthetic Joint InfectionThe Journal of Molecular Diagnostics, 2008
- Diagnosis of Infected Total Knee: Findings of a Multicenter DatabaseClinical Orthopaedics and Related Research, 2008
- Evaluation of Conventional Microbiological Procedures and Molecular Genetic Techniques for Diagnosis of Infections in Patients with Implanted Orthopedic DevicesJournal of Clinical Microbiology, 2008
- Inflammatory response in the elderlyCurrent Opinion in Clinical Nutrition and Metabolic Care, 2003