Related Experiment Video
Updated: Mar 10, 2026
Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
Published on: December 3, 2017
[Etiological agents more common in primary hip and knee joint replacement infections in older adults]
O Argüelles-Martínez1, A H Rivera-Villa1, A Miguel-Pérez1
1Hospitales de Traumatología, Ortopedia y Unidad de Medicina Física y Rehabilitación Norte (UMFRN), Unidad Médica de Alta Especialidad (UMAE) «Dr. Victorio de la Fuente Narváez», Instituto Mexicano del Seguro Social (IMSS), Col. Magdalena de las Salinas, Gustavo A. Madero, CP 07760, Ciudad de México, México.
Background:
The most common etiological agents in periprosthetic infections are Escherichia coli and Staphylococcus aureus. The frequency of these infections are found in knee replacement with 0.68 to 1.60% compared to the hip with 0.67 to 2.4%.
Objective:
To identify what are the most common etiologic agents in periprosthetic infections in elderly patients with primary hip and knee surgery.
Material And Methods:
An observational study, transverse and retrospective case series was performed in a period from June 2011 to December 2014, patients over 60 years with a diagnosis of periprosthetic infection by two positive cultures with antibiograma.
Results:
62 patients were evaluated 59.7% were infections of knee and hip 40.3%, 59% were infections by Escherichia coli and Staphylococcus aureus 22%. The best sensitivity reported antibiotic trimethoprim-sulfamethoxazole was 40.3%. The largest penicillin G resistance 32.2%.
Conclusion:
The most common causative agents were Escherichia coli and Staphylococcus aureus.
Related Concept Videos
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
01:25Endocarditis I: Introduction
01:25Urinary Tract Infection II: Pathophysiology
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:26Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
01:26Urinary Tract Infection I: Introduction