Table 4.
Univariate model of factors associated with treatment failurea
| Variable | Value for group |
OR (95% CI) | P value | |
|---|---|---|---|---|
| Treatment success (n = 34) | Treatment failure (n = 9) | |||
| Median age (yr) (IQR) | 74 (69–77) | 63 (59–77) | 1.0 (0.9–1.0) | 0.2 |
| No. (%) of female patients | 19 (83) | 4 (17) | 0.6 (0.1–2.8) | 0.5 |
| No. (%) of patients with knee arthroplasty | 14 (93) | 1 (7) | 0.2 (0.02–1.6) | 0.1 |
| No. (%) of patients with index arthroplasty indication | ||||
| Primary | 28 (80) | 7(20) | 1 (ref) | |
| Aseptic revision | 5 (83) | 1 (17) | 0.8 (0.08–8.0) | 0.8 |
| Septic revision | 1 (50) | 1 (50) | 4 (0.2–72.2) | 0.3 |
| Median no. of days of symptoms (IQR) | 7 (2–14) | 4 (1–7) | 1.0 (0.9–1.1) | 0.3 |
| No. (%) of patients with infection classification of: | ||||
| Early (≤90 days from implantation) | 32 (78) | 9 (22) | 1 (ref) | |
| Delayed (>90 days from implantation) | 2 (100) | 0 | ||
| No. (%) of patients with polymicrobial infection | 12 (75) | 4 (25) | 1.5 (0.3–6.5) | 0.6 |
| No. (%) of patients with causative microorganism | ||||
| MRSA | 16 (67) | 8 (33) | 9.0 (1.0–80.0) | 0.049 |
| MR-CNS | 8 (89) | 1 (11) | 0.1 (0.01–0.9) | 0.03 |
| No. (%) of patients with no. of surgical debridements | ||||
| 2–3 | 30 (91) | 3 (9) | 1 (ref) | |
| 1 | 1 (25) | 3 (75) | 30.0 (2.3–386.3) | 0.009 |
| ≥4 | 3 (50) | 3 (50) | 10.0 (1.4–73.3) | 0.02 |
| No. (%) of patients with liner changed | 15 (83) | 3 (17) | 1.6 (0.3–7.4) | 0.6 |
| No. (%) of patients with microbiology cultures positive upon final debridement | 20 (74) | 7 (26) | 2.5 (0.4–13.6) | 0.3 |
| Median no. of days of parenteral vancomycin treatment (IQR) | 12 (9–17) | 14 (7–23) | 1.0 (0.9–1.1) | 0.2 |
| No. (%) of patients with duration of antibiotic therapy (oral and parenteral) | ||||
| >365 days | 18 (90) | 2 (10) | 1 (ref) | |
| 180–365 days | 13 (87) | 2 (13) | 1.4 (0.2–11.1) | 0.8 |
| 90–180 days | 2 (67) | 1 (33) | 4.5 (0.3–74.7) | 0.3 |
| <90 days | 1 (20) | 4 (80) | 36 (2.6–501.3) | 0.008 |
OR, odds ratio; ref, reference. Boldface type indicates significant value (P < 0.05).