Research Article

Outcome of Irrigation and Debridement after Failed Two-Stage Reimplantation for Periprosthetic Joint Infection

Table 2

Successful cases with organism type, resistogram, and antibiotics; failed two-stage revision was done at a tertiary referral center; prior surgeries (column 2) were done in external clinics.

PatientRevision surgeries prior to failed two-stage revisionOrganism type: failed two-stage revisionAntibiotics preoperativeNumber of surgeries (I&D)Organism type: I&DAntibiotics postoperativResistant
against

1Two-stage revisionMRSEVa, Ti, Ri1MRSEVa, Ti, RiOx, Ri, Ci, Ge, Cl, Im

2-MRSELe, Ri7MRSELe, Va, RiOx, Ci, Ge, Cl

3Revision due to bursitis intertrochantericaStaph. capitisLe, Ri1Strepto. intermediusLe, RiCl

7-Staph. aureus-8Staph. aureusLe, Fl, Ri-

8Bursectomy, Exchange of cupLe, Ri7MRSEVa, Cl, RiOx, Ce, Im

9Soft tissue revisionStrepto. agalactiaeFl, Ri1Enterococcus faecalisFl, Am, RiGe, Cl, Ce

11-Le, Ri2Staph. aureusLe, Ri-

12Two-stage revisionLe, Ri5(1) Enterococcus faecalis
(2) Peptostrepto. magnus
Le, Amp, Ri(1) Ge, Cl
(2) -

13ORIF (tibiaplateau fracture)MRSE-6Escherichia coliLe, Ce, Ri-

14-Staph. epiLe, Ri11MRSEVa, RiOx, Ge, Cl, Ce, Va, Im

18Two-stage revisionStaph. aureus-7Escherichia coliMe, RiLe, Ci,

193x two-stage revisionStrept. simulansLe, Ri5Escherichia coliLe, Ri-

MRSE = methicillin-resistant staphylococcus epidermidis, Ox = oxacillin, Ri = rifampicin, Le = levofloxacin, Ci = ciprofloxacin, To = tobramycin, Fl = flucloxacillin, Ge = gentamicin, Cl = clindamycin, Ce = cefuroxime, Va, = vancomycin, Li = linezolid, Im = imipenem, Ti = tigecycline, Am = amoxicillin, Amp = ampicillin, Mo = moxifloxacin, Me = meropenem