S. Aureus Translocation From Skin and Nose to Periprosthetic Tissues
Status unconfirmed
Conditions studied: Staphylococcus Aureus
In brief
Surgical site infections (SSI) are a significant clinical issue that requires the use of a great amount of resources. In particular, periprosthetic joint infections (PJIs) have potentially catastrophic effects on patients' health-related quality of life, function, healthcare costs, outcomes and medical implications. National surveillance estimates may under-report the true incidence and when considering the large number of total hip (THA) and total knee arthroplasty (TKA) procedures performed each year. Patients who have a high-level of nasal bacteria have been found to have a risk of surgical site infection that is three to six times the risk compared with noncarriers and low-level carriers. The association between a patient's nasal carriage of S. aureus, specifically MRSA, and PJI has been demonstrated in a systematic review and confirmed in recent cohort studies. While this association seems to be well accepted, no mechanistic explanation has been provided for this association.
Key facts
- Study ID
- NCT04666532
- Run by
- Rothman Institute Orthopaedics
- People needed
- 200
- Starts
- 2020-10-22
- Expected to finish
- 2021-12-31
- Last updated by the study team
- 2020-12-14
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- All patients undergoing revision total knee or total hip arthroplasty at our institution will be eligible
You may not qualify if…
- Patients included in other prospective studies
Where it is running
- Rothman Orthopaedic Institute — Philadelphia, Pennsylvania, United States
Full record on ClinicalTrials.gov
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