Indian Journal of Research in Homeopathy

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 12  |  Issue : 1  |  Page : 1--5

Risk of infection following total knee arthroplasty in patients with asymptomatic bacteriuria: A meta-analysis


David Sadigursky1, Mariana Drummond Sousa2, Lucas Rocha de Jesus2, José Marques Neto3, Diogo Maciel Vieira Lobão3, Matheus Lemos Azi5 
1 Hospital Clínica Ortopédica e Traumatológica, Orthopaedics and Traumatology Study Center; Hospital Manoel Victorino, Medical Residency in Orthopaedics and Traumatology, Salvador, Bahia, Brazil
2 Hospital Clínica Ortopédica e Traumatológica, Orthopaedics and Traumatology Study Center, Salvador, Bahia, Brazil
3 Faculdade de Tecnologia e Ciência, Medical School, Salvador, Bahia, Brazil

Correspondence Address:
Dr. David Sadigursky
Avenida Santa Luzia, 284. Edf. Horto Barcelona. Apartamento 901A, Zip Code: 40295-050, Salvador, Bahia
Brazil

Introduction: In recent years, the treatment of asymptomatic bacteriuria (AB) is a topic approached in the orthopedic literature, with conflicting results about the need for treatment in the preoperative total knee arthroplasty (TKA). Objective: Systematic review with meta-analysis relating the presence of AB, as preoperative routine finding, to the risk of surgical site infection (SSI) following TKA, as well as the need for preoperative treatment of this condition. Methods: For the systematic review performed, five original articles were selected, following the PRISMA-p 2015. The keywords such as “asymptomatic bacteriuria” and “arthroplasty” or “joint replacement” or “joint infection” were used for the literature search in the databases of Bireme, PubMed, Medline, Science Direct, Google Scholars, and SciElo, between January and July 2018. Statistical analysis using the Mantel–Haenszel method and statistical test of relative risk with random effects were performed. Risks for publication bias were examined using a funnel plot. All analyzes were conducted using Review Manager version 5.3. Results: The results were inconclusive as to the increase in infection rates in patients undergoing TKA with AB. Conclusion: The study showed that the treatment of AB with antibiotics in the TKA preoperative period remains controversial due to the lack of data that reinforce this hypothesis.


How to cite this article:
Sadigursky D, Sousa MD, de Jesus LR, Neto JM, Lobão DM, Azi ML. Risk of infection following total knee arthroplasty in patients with asymptomatic bacteriuria: A meta-analysis.J Orthop Traumatol Rehabil 2020;12:1-5


How to cite this URL:
Sadigursky D, Sousa MD, de Jesus LR, Neto JM, Lobão DM, Azi ML. Risk of infection following total knee arthroplasty in patients with asymptomatic bacteriuria: A meta-analysis. J Orthop Traumatol Rehabil [serial online] 2020 [cited 2020 Aug 6 ];12:1-5
Available from: http://www.jotr.in/article.asp?issn=0975-7341;year=2020;volume=12;issue=1;spage=1;epage=5;aulast=Sadigursky;type=0