Table 1 Description of the eleven patients with unexpected positive intraoperative culture
Pat. | Gen-der | BMI | ASA | CCI | Joint | Histo-ry Joint | Number previous opera-tions at the joint including arthropl. | CRP Pre-biopsy (mg/L) | WBC count in synovia (cells/μL) | Micro-biology Biopsy | Histology Biopsy | ICM-Score pre-op | Micro-biology Revision | Histo-logy Re-vision | ICM-Score after revi-sion | Antibiotic Therapy | Re-infection after months |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | male | 25.4 | 2 | 0 | TKA | Loose-ning after 6 years | 1 | 21 | 1360 | neg. | neg. | 2 | Staph. hominis (3/5) | neg. | major + 2 | Flucloxacillin + Rifampicin 2 weeks then Levofloxacin + Rifampicin 4 weeks | 36 months with Staph. hominis |
2 | fem. | 28.1 | 2 | 0 | TKA | Revi-sion after 3 years because of arthro-fibrosis | 3 | < 5 | 800 | neg. | neg. | 0 | Staph. epidermidis (3/5) Staph. hominis (1/5) | neg. | major | Vancomycin + Rifampicin 2 weeks then Levofloxacin + Rifampicin 4 weeks | no |
3 | male | 26.3 | 2 | 0 | TKA | Loose-ning after 10 years | 1 | < 5 | 630 | neg. | neg. | 0 | Staph. hominis (2/5) Staph. epidermidis (1/5) | neg. | major | Flucloxacillin + Rifampicin 2 weeks then Levofloxacin + Rifampicin 4 weeks | 14 months with Staph. hominis |
4 | fem | 30.8 | 3 | 4 | TKA | Loose-ning after 8 years | 2 | 16 | 1000 | neg. | neg. | 2 | Staph. epidermidis (2/5) | neg. | major | Flucloxacillin + Rifampicin 2 weeks then Levofloxacin + Rifampicin 4 weeks | no |
5 | fem. | 25.1 | 3 | 1 | THA | Loose-ning after 10 years | 2 | < 5 | 360 | neg. | neg. | 0 | Staph. epidermidis (4/5) | neg. | major | Flucloxacillin + Rifampicin 2 weeks then Levofloxacin + Rifampicin 4 weeks | no |
6 | fem. | 32.9 | 3 | 6 | THA | Loose-ning after 4 years | 1 | 11 | 860 | Brevi-bacillus brevis (1/5) | neg. | 2 | Staph. epidermidis (3/5) | positive | major + 5 | Vancomycin + Rifampicin 2 weeks then Levofloxacin + Rifampicin 4 weeks | 12 months with Staph. epidermi-dis |
7 | male | 26.5 | 1 | 0 | THA | Loose-ning after 10 years | 1 | < 5 | 640 | neg. | neg. | 0 | Staph. caprae (5/5) | neg. | major | Flucloxacillin + Rifampicin 2 weeks then Levofloxacin + Rifampicin 4 weeks | no |
8 | male | 21.9 | 2 | 0 | THA | Loose-ning after 10 years | 2 | < 5 | 1200 | neg. | neg. | 0 | Staph. capitis (5/5) 2 Cutibac-terium agnes (5/5) | positive | major + 3 | Vancomycin + Rifampicin 2 weeks then Levofloxacin + Rifampicin 4 weeks | 14 months with Staph. capitis |
9 | male | 28.9 | 2 | 2 | THA | Loose-ning after 9 years | 1 | < 5 | 880 | neg. | neg. | 0 | Staph. epidermidis (5/5) | neg. | major | Flucloxacillin + Rifampicin 2 weeks then Levofloxacin + Rifampicin 4 weeks | no |
10 | male | 23.5 | 2 | 1 | THA | Stem loose-ning after 6 years | 2 | < 5 | 1100 | neg. | neg. | 0 | Staph. epidermidis (4/5) Staph. capitits (2/5) | neg. | major | Flucloxacillin + Rifampicin 2 weeks then Levofloxacin + Rifampicin 4 weeks | no |
11 | fem. | 29.6 | 2 | 1 | THA | Loose-ning after 8 years | 5 | < 5 | 480 | neg. | neg. | 0 | Staph. epidermidis (2/5) Cutibac-terium agnes (2/5) | neg. | major | Vancomycin + Rifampicin 2 weeks then Levofloxacin + Rifampicin 4 weeks | 4 months with Staph. epidermidis |