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Periprosthetic low-grade hip infections. Erythrocyte sedimentation rate and C-reactive protein in 23 cases

Sanzén, Lennart and Sundberg, M LU orcid (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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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
  • pmid:9385247
  • scopus:0030684687
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
2024-01-01 10:47:07
@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 (&lt; 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 &gt; 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}},
}