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Table 5 Periprosthetic joint infection (PJI), individual casesa

From: Anti-rheumatic treatment and prosthetic joint infection: an observational study in 494 elective hip and knee arthroplasties

Diagnosis

Type of surgery

Anti-rheumatic treatment

Infectious agents

Treatment of PJI

Outcome

RAb, seronegative

TKAc

Methotrexate, prednisolone

S. aureus

Debridement and exchange of tibial insert

Healed (26 months later re-infected with the same bacteria)

RAb, seropositive

TKAc

Etanercept,

methotrexate

coagulase negative staphylococcus (CNS)

Two-stage revision

Healed

RAb, seropositive

TKAc

Prednisolone, azathioprine

S. aureus

Debridement and exchange of tibial insert

Failure (chronic infection treated with suppressive antibiotics)

RAb, seropositive

TKAc

Methotrexate, prednisolone

B. fragilis

Antibiotics

Failure, amputation

RAb, seropositive

TKAc

Methotrexate, sulfasalazine, hydroxychloroquine, prednisolone

S. mitis, S. hominis

Debridement and exchange of tibial insert

Healed

RAb, seropositive

TKAc

Prednisolone

coagulase negative staphylococcus (CNS)

Debridement and exchange of tibial insert

Healed

PsAc

TKAc

None

coagulase negative staphylococcus (CNS)

Debridement and exchange of tibial insert

Healed

  1. aIn order to not compromise patient confidentiality age and sex is excluded from the table. There were 4 males and 3 females and the mean age was 64 years (range 44–70)
  2. bRheumatoid arthritis
  3. cpsoriatic arthritis