Periprosthetic low-grade hip infections. Erythrocyte sedimentation rate and C-reactive protein in 23 cases
(1997) In Acta Orthopaedica Scandinavica 68(5). p.461-465- Abstract
We followed 23 patients from the primary total hip arthroplasty to revision for a bacteriologically proven deep infection with a low virulent organism. The median time to revision was 14 (4-65) months. During this period, the maximum ESR value was median 50 (22-110) mm and the maximum CRP value was 35 (9-95) mg/L. 25 of the 98 CRP values recorded were normal (< 9 mg/L) and 22/89 ESR values were below 30 mm/h. In 6 patients, all CRP values were below 20 mg/L, but 5 of these patients had an ESR > 30 mm. Before the revision, normal values for both tests were found in only 1 patient. Both normal values and slight-to-moderate increases in ESR and/or CRP are consistent with a low-grade periprosthetic hip infection. We recommend that ESR... (More)
We followed 23 patients from the primary total hip arthroplasty to revision for a bacteriologically proven deep infection with a low virulent organism. The median time to revision was 14 (4-65) months. During this period, the maximum ESR value was median 50 (22-110) mm and the maximum CRP value was 35 (9-95) mg/L. 25 of the 98 CRP values recorded were normal (< 9 mg/L) and 22/89 ESR values were below 30 mm/h. In 6 patients, all CRP values were below 20 mg/L, but 5 of these patients had an ESR > 30 mm. Before the revision, normal values for both tests were found in only 1 patient. Both normal values and slight-to-moderate increases in ESR and/or CRP are consistent with a low-grade periprosthetic hip infection. We recommend that ESR should be determined preoperatively in all patients scheduled for total hip replacement to establish a baseline.
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- author
- Sanzén, Lennart and Sundberg, M LU
- publishing date
- 1997
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Aged, Aged, 80 and over, Arthritis/surgery, Arthroplasty, Replacement, Hip/adverse effects, Blood Sedimentation, C-Reactive Protein/analysis, Female, Humans, Male, Middle Aged, Prosthesis-Related Infections/blood, Reoperation, Retrospective Studies
- in
- Acta Orthopaedica Scandinavica
- volume
- 68
- issue
- 5
- pages
- 461 - 465
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:0030684687
- pmid:9385247
- ISSN
- 0001-6470
- DOI
- 10.3109/17453679708996263
- language
- English
- LU publication?
- no
- id
- a0aa9e78-ab56-47d7-84c5-54564c3a48cc
- date added to LUP
- 2019-06-17 11:09:23
- date last changed
- 2024-08-07 22:20:18
@article{a0aa9e78-ab56-47d7-84c5-54564c3a48cc, abstract = {{<p>We followed 23 patients from the primary total hip arthroplasty to revision for a bacteriologically proven deep infection with a low virulent organism. The median time to revision was 14 (4-65) months. During this period, the maximum ESR value was median 50 (22-110) mm and the maximum CRP value was 35 (9-95) mg/L. 25 of the 98 CRP values recorded were normal (< 9 mg/L) and 22/89 ESR values were below 30 mm/h. In 6 patients, all CRP values were below 20 mg/L, but 5 of these patients had an ESR > 30 mm. Before the revision, normal values for both tests were found in only 1 patient. Both normal values and slight-to-moderate increases in ESR and/or CRP are consistent with a low-grade periprosthetic hip infection. We recommend that ESR should be determined preoperatively in all patients scheduled for total hip replacement to establish a baseline.</p>}}, author = {{Sanzén, Lennart and Sundberg, M}}, issn = {{0001-6470}}, keywords = {{Aged; Aged, 80 and over; Arthritis/surgery; Arthroplasty, Replacement, Hip/adverse effects; Blood Sedimentation; C-Reactive Protein/analysis; Female; Humans; Male; Middle Aged; Prosthesis-Related Infections/blood; Reoperation; Retrospective Studies}}, language = {{eng}}, number = {{5}}, pages = {{461--465}}, publisher = {{Taylor & Francis}}, series = {{Acta Orthopaedica Scandinavica}}, title = {{Periprosthetic low-grade hip infections. Erythrocyte sedimentation rate and C-reactive protein in 23 cases}}, url = {{http://dx.doi.org/10.3109/17453679708996263}}, doi = {{10.3109/17453679708996263}}, volume = {{68}}, year = {{1997}}, }