The value of bacterial culture during clean orthopedic surgery: a prospective study of 1,036 patients

Article Article scientifique Article The value of bacterial culture during clean orthopedic surgery: a prospective study of 1,036 patients eng 2004 author Bernard Louis 565251 author Sadowski Christophe Raphael 34877 author Monin - Eicher Daniel 590316 author Stern Richard 133317 author Wyssa Blaise Jean Albert 66905 author Rohner Peter 129742 author Lew Daniel Pablo 26516 author Hoffmeyer Pierre 29797 512-514 10.1086/502431 15242201 0899-823X OBJECTIVE: To determine whether bacterial cultures of the wounds of patients undergoing clean orthopedic surgery would help predict infection. METHODS: During 1 year, 1,256 cultures were performed for 1,102 patients who underwent clean orthopedic surgery. Results were analyzed to evaluate their ability to predict postoperative infection. RESULTS: The sensitivity, specificity, positive predictive value, and negative predictive value of the cultures were 38%, 92%, 7%, and 99%, respectively. CONCLUSIONS: Cultures performed during clean orthopedic surgery were not useful for predicting postoperative infection. Adolescent Adult Aged Aged, 80 and over Antibiotic Prophylaxis Bacterial Infections/classification/ microbiology/prevention & control Colony Count, Microbial Drug Resistance, Bacterial Female Humans Intraoperative Period Male Middle Aged Orthopedic Procedures/ adverse effects Prospective Studies Risk Assessment Sensitivity and Specificity Surgical Wound Infection/ microbiology/prevention & control Switzerland Dewey 616 Dewey 617 56 Département de médecine 221 57 Département de chirurgie 222 false 74 Chirurgie orthopédique et traumatologique 98 Infection control and hospital epidemiology 25 6 417dadc5-6d4d-41e2-a083-c8043d895961 Article Restricted file1.pdf 57173 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département de chirurgie

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The value of bacterial culture during clean orthopedic surgery: a prospective study of 1,036 patients	Infection control and hospital epidemiology			2004	585	0

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Monin - Eicher, Daniel