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The Archives of Bone and Joint Surgery، جلد ۶، شماره ۶، صفحات ۰-۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Staphylococcus aureus Colonization in Patients Undergoing Total Hip or Knee Arthroplasty and Costeffectiveness of Decolonization Programme
چکیده انگلیسی مقاله Abstract Introduction: Periprosthetic joint infection is one of devastating complications of total joint arthroplasty. It seems that skin, nose, throat and urine of the patients are important sites for colonization of microbes . Colonization with staphylococcus aureus, especially methicillin resistant increases the risk of periprosthetic joint infection. Infection following knee and hip arthroplasty can be debilitating complication that imposes heavy burden on patients and health systems. The aim of this study is to assess the prevalence of colonization with staphylococcus aureus in patients candidate for arthroplasty in central area of Iran and also to determine the cost–effectiveness of decolonization program for the prevention of infection after arthroplasty. Methods: Between January 2014 to January 2016, 226 patients who were candidate of total joint arthroplasty enrolled in this prospective cross-sectional study. Specimens from nose, throat, groin skin and urine were sent for bacteriologic culture and sensitivity. Then cost-effective analysis was performed for decolonization programme. Results: In this study the patients had positive cultures including noise cultures(15.9%), throat culture(4.4 %), groin culture(3.1% )and urine culture(0.9%). In general 20.8% had positive culture for staphylococcus aureus that 1.8% of them were methicillin resistant. Based on cost-effectiveness analysis, decolonization program leads to 80% reduction in costs. Conclusion: According to the results of this study, although colonization with methicillin sensitive staphylococcus aureus in patients undergoing hip or knee arthroplasty is lower than other studies but colonization with methicillin resistant staphylococcus aureus is similar to others. According to the cost-effectiveness analysis of this project, carrying out the decolonization programme in this patients group is very cost-effective.
کلیدواژه‌های انگلیسی مقاله Arthroplasty, Staphylococcus aureus, Decolonization
نویسندگان مقاله | Hosseinali Hadi
orthopdic surgery group , arak university of medical science


| Mahmood Jabalamoli
shafa yahian hospital , iran university medical science


| Abolfazl BagheriFard
TEHRAN


| Ehsanollah Ghaznavi-Rad
arak university of medical science


| Ahmadreza Behrouzi
orthopedic surgery, valiasr hospital, arak university of medical science


| Ali Joorabchi
arak university of medical science


| Amir Azimi
orthopedic department,Arak university of medical sciences ,arak ,iran
نشانی اینترنتی http://abjs.mums.ac.ir/article_10833.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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