Artigo Acesso aberto Revisado por pares

Aquacel Surgical Dressing Reduces the Rate of Acute PJI Following Total Joint Arthroplasty: A Case–Control Study

2013; Elsevier BV; Volume: 29; Issue: 6 Linguagem: Inglês

10.1016/j.arth.2013.11.012

ISSN

1532-8406

Autores

Jenny Cai, Joseph Karam, Javad Parvizi, Eric B. Smith, Peter F. Sharkey,

Tópico(s)

Orthopedic Infections and Treatments

Resumo

An effort to prevent PJI has led to the development of antimicrobial dressings that support wound healing. We sought to determine whether Aquacel Surgical dressing independently reduces the rate of acute PJI following TJA. A single institution retrospective chart review of 903 consecutive cases who received the Aquacel Surgical dressing and 875 consecutive cases who received standard gauze dressing was conducted to determine the incidence of acute PJI (within 3 months). The incidence of acute PJI is 0.44% in the Aquacel dressing group compared to 1.7% in the standard gauze dressing group (P = 0.005). Multivariate analysis revealed that use of Aquacel dressing was an independent risk factor for reduction of PJI (odds ratio of 0.165, 95% confidence interval: 0.051-0.533). Aquacel Surgical dressing significantly reduces the incidence of acute PJI.

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