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. 2021 May 3;16:292. doi: 10.1186/s13018-021-02450-1

Table 4.

Characteristics of culture-positive and culture-negative patients

Characteristics Culture-positive Culture-negative p value
Cases (%) (samples) 82 (75%) (204) 27 (25%) (95)
Median age (range) 70 years (18–87) 72 years (18–86) 0.17
Gender 27 male/55 female 13 male/14 female 0.15
Comorbidity
 Hypertension 32 (39%) 11 (41%) 0.88
 Diabetes mellitus 11 (13%) 6 (22%) 0.27
 Renal insufficiency 7 (8.5%) 4 (15%) 0.35
 Liver cirrhosis 8 (9.8%) 3 (11%) 0.84
 Cardiovascular disease 12 (15%) 3 (11%) 0.64
 COPD 3 (3.7%) 1 (3.7%) 0.99
 Rheumatoid arthritis 5 (6.1%) 4 (15%) 0.15
Mean follow-up (months) 55 (18–98) 41 (18–92) 0.011*
Mean ASA physical status 2.06 2 0.23
Type of infection 0.15
 Early postoperative 7 (8.5%) 6 (22%)
 Acute hematogenous 15 (18%) 5 (19%)
 Chronic 60 (73%) 16 (59%)
Type of implant 0.51
 THA 49 (60%) 12 (44%)
 Hip hemi-arthroplasty 6 (7.3%) 5 (19%)
 Hip megaprosthesis 5 (6.1%) 2 (7.4%)
TKA 11 (13%) 6 (22%)
 Knee megaprosthesis 6 (7.3%) 1 (3.7%)
 Shoulder hemi-arthroplasty 4 (4.9%) 1 (3.7%)
 TEA 1 (1.2%) 0 (0%)
Type of samples 0.072
 Tissue 142 (70%) 62 (65%)
 Fluid sample 60 (29%) 28 (29%)
 Drain 2 (1.0%) 5 (5.3%)
Prior antimicrobial administration 0.62
 Yes 50 (61%) 15 (56%)
 No 32 (39%) 12 (44%)
Treatment 0.044*
 One-stage 6 (7.3%) 4 (15%)
 Two-stage 54 (66%) 12 (44%)
 DAIR 14 (17%) 7 (26%)
Resection arthroplasty 8 (10%) 2 (7.4%)
 Observation 0 (0%) 2 (7.4%)
Treatment success 0.088
 Yes 72 (88%) 20 (74%)
 No 10 (12%) 7 (26%)

COPD chronic obstructive pulmonary disease, ASA American Society of Anesthesiologists, THA total hip arthroplasty, TKA total knee arthroplasty, TEA total elbow arthroplasty, DAIR debridement antibiotics and implant retention

*p value < 0.05