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The Value of Bacterial Culture During Clean Orthopedic Surgery a Prospective Study of 1,036 Patients

Published online by Cambridge University Press:  02 January 2015

Louis Bernard ,
Christophe Sadowski ,
Daniel Monin ,
Richard Stern ,
Blaise Wyssa ,
Peter Rohner ,
Daniel Lew ,
Pierre Hoffmeyer  and
Groupe d'Etude sur l'Osteite
Louis Bernard*
Affiliation:
Orthopaedic Clinic, Geneva, Switzerland Department of Microbiology, Geneva, Switzerland Division of Infectious Diseases, Geneva University Hospital, Geneva, Switzerland
Christophe Sadowski
Affiliation:
Orthopaedic Clinic, Geneva, Switzerland
Daniel Monin
Affiliation:
Orthopaedic Clinic, Geneva, Switzerland
Richard Stern
Affiliation:
Orthopaedic Clinic, Geneva, Switzerland
Blaise Wyssa
Affiliation:
Orthopaedic Clinic, Geneva, Switzerland
Peter Rohner
Affiliation:
Department of Microbiology, Geneva, Switzerland
Daniel Lew
Affiliation:
Department of Microbiology, Geneva, Switzerland
Pierre Hoffmeyer
Affiliation:
Orthopaedic Clinic, Geneva, Switzerland
*
Division of Infectious Diseases, Geneva University Hospital, 24 rue Micheli-du-Crest, 1211 Geneva 14, Switzerland
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Abstract

Objective:

To determine whether bacterial cultures of the wounds of patients undergoing clean orthopedic surgery would help predict infection.

Methods:

During 1 year, 1,256 cultures were performed for 1,102 patients who underwent clean orthopedic surgery. Results were analyzed to evaluate their ability to predict postoperative infection.

Results:

The sensitivity, specificity, positive predictive value, and negative predictive value of the cultures were 38%, 92%, 7%, and 99%, respectively.

Conclusions:

Cultures performed during clean orthopedic surgery were not useful for predicting postoperative infection.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 25 , Issue 6 , June 2004 , pp. 512 - 514
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

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