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

Table 4

Failed cases.

Patient	Revision surgeries prior to failed two-stage revision	Organism type: failed two-stage revision	Antibiotics preoperative	Number of surgeries (I&D)	Organism type: I&D	Antibiotics postoperative	Resistant; against
5	Inlay exchange (multiple dislocations), multiple surgeries due to infection	(1) Staph. aureus	Le, Ri	5	(1) MRSE	Va, Ri	(1) Ox, Ci, Cl
		(2) Staph. haemolyticus			(2) Enterococcus faecium
							(2) Ci, Ge, Cl
6	Exchange of cup	MRSE	Cl, Ri	5	Enterobacter cloacae	Le, Ri	-
10	Exchange of cup (3x)	Staph. epidermidis	-	2	-	Le, Ri	-
15	Arthroscopy with synovectomie	Staph. epidermidis	Le, Ri	1	MRSE	Va	Ox, Ge, Cl, Ce, Im
16	-	Candida albicans	-	3	MRSE	Cl	Ox, Ge, Ce, Im
17	2x two-stage revision, 1x tibial exchange	Enterobacter cloacae	Me	7	MRSE	Va, Mo, Ri	Ox, Ge, Ce, Im

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