Table 1.
Patient | Gender | Age | Comorbidities | Time of presentation(after ORIF) | HW status | Initial surgery | Intraoperative culture results | Antibiotics | Recurrence of infection | Comments | Amputation |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | F | 38 | Low albumin, hypothyroidism | 1 week | Intact | ID, HW retained | S. epidermidis | Daptomycin | Yes (7 weeks after ID) | Ulceration with exposed bone at medial distal tibia | Yes |
2 | M | 31 | None | 2 weeks | Intact | ID, HW retained | OSSA | Cefazolin | Yes (8 weeks after ID) | Repeat ID, HW removed | No |
3 | M | 53 | Low albumin, smoking, alcohol | 2 weeks | Intact | ID, HW retained | ORSA | Vancomycin, then PO Bactrim | Yes (7 weeks after ID) | Repeat ID, HW removed | No |
4 | M | 54 | Low albumin, smoking, alcohol | 7 weeks | Loose | ID, HW removed | OSSA | Oxacillin then PO cefazolin | Yes (14 weeks after ID) | Repeat ID | No |
5 | F | 58 | DM, retinopathy, peripheral neuropathy, low albumin | 7 weeks | Loose | ID, HW removed | OSSA | Oxacillin plus rifampin | Yes (3 weeks after ID) | Yes | |
6 | M | 21 | Low albumin, smoking | 3 weeks | Intact | ID, HW retained | S. epidermidis, Propionibacterium | Vancomycin | No | Repeat ID, HW removed | No |
7 | M | 37 | HIV, hepatitis C, IVDA, smoking | 5 weeks | Intact but fibula malreduced | ID, HW removed | Serratia, Acinetobacter | Vancomycin, levofloxacin, amikacin | No | No | |
8 | M | 52 | IVDA, smoking, alcohol | 9 weeks | Loose | ID, HW removed | OSSA | Oxacillin | No | No | |
9 | M | 30 | None | 11 weeks | Intact | ID, HW removed | OSSA | Cefazolin plus rifampin | No | No | |
10 | M | 40 | Smoking | 13 weeks | Intact | ID, HW removed | S. epidermidis | Vancomycin | No | No | |
11 | M | 44 | DM, IVDA, smoking, low albumin | 14 weeks | Intact | ID, HW removed | OSSA | Cefazolin | No | No | |
12 | M | 59 | DM, alcohol, low albumin | 15 weeks | Intact | ID, HW removed | Enterobacter cloacae, S. epidermidis | Vancomycin, levofloxacin | No | No | |
13 | M | 49 | None | 13 months | Intact | ID, HW removed | ORSA | Vancomycin | No | No | |
14 | M | 33 | Low albumin | 44 weeks | Intact | ID, HW removed | ORSA | Vancomycin | No | No | |
15 | M | 36 | Smoking | 12 months | Loose | ID, HW removed | ORSA | Vancomycin | No | No | |
16 | F | 36 | Smoking | 21 months | Intact | ID, HW removed | OSSA, S. epidermidis | Vancomycin | No | No | |
17 | M | 30 | Low albumin | 4.5 years | Loose | ID, HW removed | ORSA | Vancomycin plus rifampin | No | No | |
18 | F | 47 | DM, IVDA, hepatitis B, hepatitis C, cirrhosis, low albumin, smoking | 23 months | Loose | Amputation | Not available (S. epidermidis in preoperative cultures) | Ertapenem plus levofloxacin (before amputation) | No | Ulcerations of lateral and medial side of ankle, joint destruction | Yes |
HW = hardware; ORIF = open reduction internal fixation; HIV = human immunodeficiency virus; IVDA = intravenous drug abuse; DM = diabetes mellitus; OSSA = oxacillin sensitive Staphylococcus aureus; ORSA = oxacillin resistant Staphylococcus aureus.