Role of asymptomatic bacteriuria on early periprosthetic joint infection after hip hemiarthroplasty. BARIFER randomized clinical trial

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..

PURPOSE: To evaluate preoperative asymptomatic bacteriuria (ASB) treatment to reduce early-periprosthetic joint infections (early-PJIs) after hip hemiarthroplasty (HHA) for fracture.

METHODS: Open-label, multicenter RCT comparing fosfomycin-trometamol versus no intervention with a parallel follow-up cohort without ASB.

PRIMARY OUTCOME: early-PJI after HHA.

RESULTS: Five hundred ninety-four patients enrolled (mean age 84.3); 152(25%) with ASB (77 treated with fosfomycin-trometamol/75 controls) and 442(75%) without. Despite the study closed without the intended sample size, ASB was not predictive of early-PJI (OR: 1.06 [95%CI: 0.33-3.38]), and its treatment did not modify early-PJI incidence (OR: 1.03 [95%CI: 0.15-7.10]).

CONCLUSIONS: Neither preoperative ASB nor its treatment appears to be risk factors of early-PJI after HHA. ClinicalTrials.gov Identifier: Eudra CT 2016-001108-47.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:40

Enthalten in:

European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology - 40(2021), 11 vom: 16. Nov., Seite 2411-2419

Sprache:

Englisch

Beteiligte Personen:

Rodríguez-Pardo, Dolors [VerfasserIn]
Del Toro, María Dolores [VerfasserIn]
Guío-Carrión, Laura [VerfasserIn]
Escudero-Sánchez, Rosa [VerfasserIn]
Fernández-Sampedro, Marta [VerfasserIn]
García-Viejo, Miguel Ángel [VerfasserIn]
Velasco-Arribas, María [VerfasserIn]
Soldevila-Boixader, Laura [VerfasserIn]
Femenias, Magdalena [VerfasserIn]
Iribarren, José Antonio [VerfasserIn]
Pulido-Garcia, María Del Carmen [VerfasserIn]
Navarro, María Dolores [VerfasserIn]
Lung, Mayli [VerfasserIn]
Corona, Pablo S [VerfasserIn]
Almirante, Benito [VerfasserIn]
Pigrau, Carles [VerfasserIn]

Links:

Volltext

Themen:

023C2WHX2V
2N81MY12TE
Anti-Bacterial Agents
Asymptomatic bacteriuria
Early-periprosthetic joint infection
Fosfomycin
Fosfomycin-trometamol
Hip hemiarthroplasty
Journal Article
Multicenter Study
Randomized Controlled Trial
Tromethamine

Anmerkungen:

Date Completed 23.12.2021

Date Revised 23.12.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s10096-021-04241-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM32418834X