Abstract
Hip arthroplasties are surgical procedures widely performed all over the world, seeking
to return functionality, relieve pain, and improve the quality of life of patients
affected by osteoarthritis, femoral neck fractures, osteonecrosis of the femoral head,
among other etiologies. Periprosthetic joint infections are one of the most feared
complications due to the high associated morbidity and mortality, with a high number
of pathogens that may be associated with its etiology. The aim of the present study
was to analyze aspects correlated with the occurrence of infection, diagnosis and
prevention of periprosthetic joint infections in the hip associated with Staphylococcus aureus after corrective surgery for hip fractures. This is a systematic review of the literature
carried out in the databases indexed in the Medical Literature Analysis and Retrieval
System Online (MEDLINE) carried out in accordance with the precepts established by
the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology.
Twenty studies that addressed the diagnosis and prevention of periprosthetic joint
infections after hip fractures were selected for analysis. It is observed that there
is no consensus in the literature on preventive measures for the occurrence of such
infectious processes. Among the risk factors for the occurrence and severity of infections
by S. aureus after hip arthroplasties, obesity, longer surgical time, older age, immunosuppression,
recent use of antibiotics, and multicomorbidities were mentioned. The use of biomarkers
for early diagnosis, as well as screening, decolonization, and antibiotic prophylaxis
processes are among the preventive procedures proposed in the literature.
Keywords
arthroplasty, replacement, hip - hip prosthesis -
staphylococcal infections
