Academic Journal
Surgical procedures for the treatment of fungal periprosthetic infection following hip arthroplasty: a systematic scoping review
| العنوان: | Surgical procedures for the treatment of fungal periprosthetic infection following hip arthroplasty: a systematic scoping review |
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| المؤلفون: | Guan, Yun, Zheng, Hanxiao, Zeng, Zhimin, Tu, Yiji |
| المصدر: | Annals of Medicine & Surgery ; volume 86, issue 5, page 2786-2793 ; ISSN 2049-0801 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: | 2024 |
| الوصف: | Background: There has been limited literature synthesizing the therapeutic effects of surgical procedures for fungal periprosthetic joint infection (PJI) following hip arthroplasty. The authors’ current study aims to comprehensively review and analyze those relevant literature, and carefully make recommendations for future clinical practices. Methods: Our current study was carried out in accordance with the PRISMA 2020 statement. Studies regarding the surgical management of fungal PJI following hip arthroplasty were collected via a thorough search of PubMed, Embase and Google scholar databases. The search was lastly performed in March 2023. Non-English language, reviews, articles with duplicated data, and articles without clear information about the type of fungal pathogens and treatment options were excluded. The authors evaluated their systematic review compliance by using AMSTAR 2 criteria and fell in moderate quality. Clinical outcomes of different surgical procedures were evaluated, and a binary logistic regression model was used to identify the risks associated with treatment failure. Data analyses were performed using the SPSS version 19.0. Results: A total of 33 articles encompassing 80 patients with fungal PJI following hip arthroplasty were identified. Candida albicans was the most frequently isolated fungus (56.3%, 45/80). The overall treatment success was achieved in 71.1% (54/76) of the reported cases. Univariate analysis showed that the differences of success rate were not significant between publication periods, genders, ages, specimen collection methods, and fungal pathogens. Treatment success rate was 47.4% (9/19) in fungal PJI cases with bacterial co-infection, significantly lower than those without [vs. 79.0% (45/57), P =0.017]. The pooled success rate for surgical debridement, spacer implantation, resection arthroplasty, one-stage revision, and two-stage revision was 50.0% (4/8), 42.9% (3/7), 55.0% (11/20), 86.7% (13/15), and 88.5% (23/26), respectively, with significant differences between ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1097/ms9.0000000000001864 |
| DOI: | 10.1097/MS9.0000000000001864 |
| الاتاحة: | http://dx.doi.org/10.1097/ms9.0000000000001864 https://journals.lww.com/10.1097/MS9.0000000000001864 |
| Rights: | http://creativecommons.org/licenses/by-nc-nd/4.0/ http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| رقم الانضمام: | edsbas.A2A9A86F |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/ms9.0000000000001864 |
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