引流管尖端培养结果能否预测手术部位感染？全髋关节置换术中1380例引流管尖端培养的结果
Is Drain Tip Culture Prognostic of Surgical Site Infection? Results of 1380 Drain Tip Cultures in Total Hip Arthroplasty.
作者信息
Takada Ryohei, Jinno Tetsuya, Koga Daisuke, Hirao Masanobu, Muneta Takeshi, Okawa Atsushi
机构信息
Department of Orthopaedic Surgery, Medical Hospital, Tokyo Medical and Dental University, Tokyo, Japan.
出版信息
J Arthroplasty. 2015 Aug;30(8):1407-9. doi: 10.1016/j.arth.2015.02.038. Epub 2015 Feb 28.
The purpose of this study was to evaluate a prognostic value of drain tip culture for surgical site infection (SSI) after total hip arthroplasty. A total of 1380 closed suction drain tips cultured after removal in primary total hip arthroplasty were included in this study. Drains were removed in 12-72 hours after surgery. Drain tip cultures were positive in 11 cases (0.8%). SSI was found in 4 cases (0.3%), where the drain tip cultures were all negative. The sensitivity of drain tip culture for infection after surgery was 0%, and the specificity was 99.7%. We concluded that, drain tip culture cannot be prognostic for SSI after total hip arthroplasty. Routine use of drain tip culture is not supported.
本研究的目的是评估全髋关节置换术后引流管尖端培养对手术部位感染（SSI）的预后价值。本研究纳入了1380例初次全髋关节置换术后拔除时进行培养的闭合式吸引引流管尖端。术后12 - 72小时拔除引流管。引流管尖端培养阳性11例（0.8%）。发现4例（0.3%）发生SSI，其中引流管尖端培养均为阴性。术后引流管尖端培养对感染的敏感性为0%，特异性为99.7%。我们得出结论，引流管尖端培养不能预测全髋关节置换术后的SSI。不支持常规使用引流管尖端培养。
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