Table 4.
Failures
Case | Surgical treatment | Time from primary prosthesis to PJI (months) | Cultures | Antibiotic treatment | Time to recurrence of infection after ceasing AB (days) | Regimen | Cultures at reoperation |
---|---|---|---|---|---|---|---|
1 | DAIRa | 49 | S. aureus | Clindaa/ rifampin 89 days | 16 | Suppressive clindamycin | - |
2 | DAIR | 101 | CoNS + S. mitis | Clinda / rifampin 41 days | 28 | Suppressive doxyclin | - |
Levofloxb / rifampin 86 days | |||||||
3 | DAIR | 1.5 | S. aureus | Clinda / rifampin 19 days | 0 (infection persisted) | Girdestone | Negative |
Flucloxc / rifampin 6 days | |||||||
4 | DAIR | 11 | S. aureus | Clinda / rifampin 12 days | 320 | two stage revision | S. aureus |
Ciproxind / rifampin 83 days | |||||||
5 | Revision | 48 | S. capitis | Clinda / rifampin 92 days | 0 | Girdlestone | S. capitis |
PJI prosthetic joint infection; AB antibiotics; DAIR debridement and implant retention; CoNS coagulase negative Staphylococci
aClindamycin
bLevofloxacin
cFlucloxacillin
dCiprofloxacin