- Training
- UK
PJI Management
Description
Professor Dominic Meek gives his expert insights into a case which involves a 72-year-old patient who is experiencing pain and swelling six months after a primary hip replacement. Laboratory tests indicate elevated inflammatory markers, specifically CRP and ESR. Joint aspiration revealed the presence of Staphylococcus aureus. The inquiry focuses on the most suitable definitive management for this infection. Four management strategies are discussed: 1) DAIR (debridement, antibiotics, and implant retention), 2) full revision via a two-stage procedure, 3) full revision via a one-stage procedure, and 4) antibiotic suppression used for frail patients. Given the timeline of six months, the effectiveness of DAIR is deemed insufficient due to potential biofilm formation. Although literature supports one-stage revisions showing non-inferiority to two-stage revisions, the recommendation for one-stage revision is contingent on the patient's overall fitness and specific sensitivity of the bacteria, necessitating consultation with microbiologists and infectious disease specialists before proceeding with treatment.
This Expert Insight answers questions asked in our new platform BJJ Life
Part of: Surgical Techniques and Training Collection
"PJI Management" is included in the following Surgical Techniques and Training playlist: