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Diagnostic Value of Routine Drain Tip Culture in Primary Joint Arthroplasty

Weinrauch, Patrick C. (2005) Diagnostic Value of Routine Drain Tip Culture in Primary Joint Arthroplasty. ANZ Journal of Surgery, 75(10), pp. 887-888.

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Abstract

Background: Closed suction drainage after joint arthroplasty is common practice in many institutions. The purpose of this study is to determine the correlation between routine drain tip culture and the diagnosis of superficial or deep postoperative wound infection after primary knee and hip replacement. Methods: Over a 12 month period, drain tips were retrieved and cultured in all patients who underwent unilateral primary total knee or hip replacement with the use of closed suction drainage. 393 cultures were performed in 387 patients (145 hip replacements, 242 knee replacements). Patients were followed for an average of 8.9 months post surgery to assess for postoperative wound infection. Results: 3 patients had a positive drain tip culture, none of which were diagnosed with superficial or deep infection. 4 (1%) Patients were diagnosed with deep infection, 16 (4.1%) with superficial infection. No patient with either superficial or deep infection had a positive drain tip culture after their index procedure. The sensitivity of routine drain tip culture for the diagnosis of postoperative infection in primary joint replacement was 0% and specificity was 99.2%. Conclusions: This data does not support the practice of routine drain tip culture after primary hip or knee replacement for the diagnosis of postoperative infection.

Impact and interest:

8 citations in Scopus
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5 citations in Web of Science®

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551 since deposited on 21 Dec 2006
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ID Code: 2633
Item Type: Journal Article
Keywords: Drain, Arthroplasty, Primary, Infection, Culture
DOI: 10.1111/j.1445-2197.2005.03546.x
ISSN: 1445-1433
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Orthopaedics (110314)
Divisions: Past > QUT Faculties & Divisions > Faculty of Built Environment and Engineering
Copyright Owner: Copyright 2005 Blackwell Publishing
Copyright Statement: The definitive version is available at www.blackwell-synergy.com
Deposited On: 21 Dec 2006
Last Modified: 09 Jun 2010 22:28

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