Gou Wenlong, Chen Jiying, Jia Yanhui, Wang Yan
Department of Orthopedics, Chinese PLA General Hospital, Beijing China.
J Arthroplasty. 2014 Mar;29(3):473-6. doi: 10.1016/j.arth.2013.07.028. Epub 2013 Aug 29.
Prosthetic joint infection (PJI) is associated with a higher mortality, morbidity and economic costs. Although it is well known that the presence of urinary tract infection (UTI) is associated with PJI, few investigations evaluated the preoperative asymptomatic leukocyturia (ASL) and the possible relationship with early PJI. We reviewed the records of 739 patients performed primary joint arthroplasty. A total of 131 patients had preoperative ASL (17.7%) and 7 of 739 patients (0.9%) had early PJI. Preoperative ASL was not confirmed as a risk factor for early PJI on the multivariate regression analysis with an adjusted OR of 1.04 (P>0.05). Therefore, it should not be considered as a reason for postponement of total joint arthroplasty.
人工关节感染（PJI）与更高的死亡率、发病率及经济成本相关。尽管众所周知尿路感染（UTI）的存在与PJI有关，但很少有研究评估术前无症状白细胞尿（ASL）及其与早期PJI的可能关系。我们回顾了739例行初次关节置换术患者的记录。共有131例患者术前存在ASL（17.7%），739例患者中有7例（0.9%）发生早期PJI。在多因素回归分析中，术前ASL未被确认为早期PJI的危险因素，校正后的比值比为1.04（P>0.05）。因此，不应将其视为推迟全关节置换术的理由。
