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©The Author(s) 2023.
World J Orthop. Apr 18, 2023; 14(4): 240-247
Published online Apr 18, 2023. doi: 10.5312/wjo.v14.i4.240
Published online Apr 18, 2023. doi: 10.5312/wjo.v14.i4.240
Table 1 Number of years as an orthopedic and traumatology specialist
Frequency | % | |
< 5 | 37 | 14.0 |
5-10 yr | 54 | 20.5 |
10-20 yr | 104 | 39.4 |
> 20 yr | 69 | 26.1 |
Total | 264 | 100.0 |
Table 2 Average number of arthroplasty operations per year
Frequency | % | |
< 50 | 102 | 38.6 |
50-100 | 85 | 32.2 |
100-200 | 50 | 18.9 |
> 200 | 27 | 10.2 |
Total | 264 | 100.0 |
Table 3 Hospital type
Frequency | % | |
State hospital | 65 | 24.6 |
University hospital | 53 | 20.1 |
Training and research hospital | 47 | 17.8 |
Private hospital | 99 | 37.5 |
Total | 264 | 100.0 |
Table 4 Participants' answers to the questions that examine attitudes towards periprosthetic joint infection
Never | Rarely | Occasionally | Frequently | Always | ||||||
Frequency | % | Frequency | % | Frequency | % | Frequency | % | Frequency | % | |
Do you consult your patients to the dentist before total knee or hip arthroplasty? | 94 | 35.6 | 61 | 23.1 | 61 | 23.1 | 21 | 8 | 27 | 10.2 |
Do you perform urine screening prior to elective arthroplasty of a patient with no symptoms of urinary tract infection? | 119 | 45.1 | 25 | 9.5 | 22 | 8.3 | 21 | 8 | 77 | 29.2 |
Do you delay elective arthroplasty of asymptomatic patients with bacteriuria? | 186 | 70.5 | 14 | 5.3 | 29 | 11 | 14 | 5.3 | 21 | 8 |
Do you screen your patients for nasal MRSA carriage prior to elective arthroplasty? | 179 | 67 | 28 | 10.6 | 20 | 7.6 | 9 | 3.4 | 28 | 10.6 |
Do you recommend chlorhexidine bathing to your patients before elective arthroplasty? | 117 | 44.3 | 15 | 5.7 | 35 | 13.3 | 19 | 7.2 | 78 | 29.5 |
Do you administer surgical prophylaxis in the second stage of the two-stage revision surgery? | 10 | 3.8 | 0 | 0 | 13 | 4.9 | 10 | 3.8 | 231 | 87.5 |
Do you pay attention to the fact that the prophylaxis agent covers the patient's previously isolated prosthetic infection agent? | 11 | 4.2 | 2 | 0.8 | 9 | 3.4 | 16 | 6.1 | 226 | 85.6 |
Do you administer surgical prophylaxis for a mega prosthesis (TM prosthesis) longer than 24 h? | 40 | 15.2 | 8 | 3 | 27 | 10.2 | 26 | 9.8 | 163 | 61.7 |
Do you have your patients wear a mask during arthroplasty surgery? | 214 | 81.1 | 15 | 5.7 | 14 | 5.3 | 5 | 1.9 | 16 | 6.1 |
Table 5 Prophylaxis agent and dosage used in arthroplasty operations
Frequency | % | |
1 g of cefazolin | 75 | 28.4 |
2 g of cefazolin | 128 | 48.5 |
I adjust cefazolin according to the patient's weight. | 55 | 20.8 |
Gentamicin | 1 | 0.4 |
Other | 5 | 1.9 |
Total | 264 | 100.0 |
Table 6 Participants' answers to the questions that examine their knowledge
Participants' answers | Never | Rarely | Occasionally | Frequently | Always | |||||
Frequency | % | Frequency | % | Frequency | % | Frequency | % | Frequency | % | |
The patient should consult the dentist before total knee or hip arthroplasty | 20 | 7.6 | 37 | 14 | 63 | 23.9 | 15 | 5.7 | 57 | 21.6 |
A urinary test should be ordered for the patient with dysuria complaint during the preoperative stage of an arthroplasty operation | 33 | 12.5 | 22 | 8.3 | 29 | 11 | 13 | 4.9 | 95 | 36 |
Surgical prophylaxis should be administered in the second stage of a two-stage revision surgery | 16 | 6.1 | 2 | 0.8 | 5 | 1.9 | 11 | 4.2 | 158 | 59.8 |
Prophylaxis agents should involve the factor of previously isolated prosthesis infection | 9 | 3.4 | 2 | 0.8 | 4 | 1.5 | 6 | 2.3 | 171 | 64.8 |
Gloves should be definitely changed after contact with cement | 14 | 5.3 | 10 | 3.8 | 26 | 9.8 | 25 | 9.5 | 117 | 44.3 |
For the diagnosis of prosthesis infection, 3–5 culture samples should be obtained | 11 | 4.2 | 5 | 1.9 | 19 | 7.2 | 20 | 7.6 | 137 | 51.9 |
Irrigation and debridement should be applied to the patient in case of persistent drainage that continues more than 1 week after the total hip and knee arthroplasty operation | 19 | 7.2 | 21 | 8.0 | 51 | 19.3 | 16 | 6.1 | 85 | 32.2 |
Surgical prophylaxis should not be longer than 24 hours for a mega prosthesis | 52 | 19.7 | 18 | 6.8 | 43 | 16.3 | 11 | 4.2 | 68 | 25.8 |
The risk of infection increases as the duration of surgery gets longer | 4 | 1.5 | 3 | 1.1 | 4 | 1.5 | 3 | 1.1 | 178 | 67.4 |
Table 7 Comparison of participants' knowledge level and work experience
n | Mean | Standard deviation | Standard error | |
< 5 | 21 | 3.7143 | 0.71277 | 0.15554 |
5-10 yr | 42 | 3.8829 | 0.52707 | 0.08133 |
10-20 yr | 74 | 3.9032 | 0.54305 | 0.06313 |
> 20 yr | 55 | 3.7924 | 0.60175 | 0.08114 |
Total | 192 | 3.8464 | 0.57638 | 0.04160 |
Table 8 Comparison of participants' knowledge level and type of hospital they work in
Hospital type (I) | Hospital type (J) | Mean difference (I-J) | Standard error | Significance |
State hospital | University hospital | -0.21482 | 0.12318 | 0.304 |
Training and research hospital | -0.382341 | 0.13071 | 0.020 | |
Private hospital | -0.21535 | 0.10486 | 0.172 | |
University hospital | State hospital | 0.21482 | 0.12318 | 0.304 |
Training and research hospital | -0.16752 | 0.13730 | 0.615 | |
Private hospital | -0.00053 | 0.11296 | 1.000 | |
Training and research hospital | State hospital | 0.382341 | 0.13071 | 0.020 |
University hospital | 0.16752 | 0.13730 | 0.615 | |
Private hospital | 0.16699 | 0.12113 | 0.514 | |
Private hospital | State hospital | 0.21535 | 0.10486 | 0.172 |
University hospital | 0.00053 | 0.11296 | 1.000 | |
Training and research hospital | -0.16699 | 0.12113 | 0.514 |
- Citation: Aytekin MN, Hasanoglu I, Öztürk R, Tosun N. Knowledge and attitudes of orthopedic surgeons regarding prosthesis joint infection. World J Orthop 2023; 14(4): 240-247
- URL: https://www.wjgnet.com/2218-5836/full/v14/i4/240.htm
- DOI: https://dx.doi.org/10.5312/wjo.v14.i4.240