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Master Thesis

Modalités de prise en charge des infections ostéo-articulaires en France : un audit national

Abstract : Introduction : Prosthetic and joint infections (PJI) are among the most serious complications of joint replacements. In France, the management of these infections is organized around reference centers, CRIOACs. Our main objective was to carry out an audit, through a questionnaire survey organized around clinical cases, to evaluate the management of PJI by health professionals.
Methods : The eligible participants were all health professionals involved in the management of PJI, who were registered on the list mailings dedicated to the management of these infections. Physicians could respond individually, or during multidisciplinary meeting dedicated to PJI. The survey consisted of three questionnaires, for a total of six clinical cases.
Results : The response rate from CRIAOCs to the three questionnaires was 92%, 77%, and 53%. For a patient with a late infection, whose pre-operative puncture was positive for S. aureus, 39% did not administer antibiotic prophylaxis, with a difference between CRIAOCs (26%) and other centers (67%), p = 0.023. For surgical management, a large majority of respondents chose a one-time strategy. Rifampicin was used in one patient with S. aureus PJI (90-92%). The total duration of antibiotics was varied, ranging from six to 12 weeks.
Conclusion : Surgical management in our investigation was fairly homogeneous, with a preference for surgery in one time. Medical management was more heterogeneous.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02393259
Contributor : Bibliothèque Universitaire de Médecine Nice <>
Submitted on : Wednesday, December 4, 2019 - 12:13:54 PM
Last modification on : Tuesday, May 26, 2020 - 6:50:40 PM
Long-term archiving on: : Thursday, March 5, 2020 - 3:25:24 PM

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  • HAL Id : dumas-02393259, version 1

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Marion Le Maréchal. Modalités de prise en charge des infections ostéo-articulaires en France : un audit national. Human health and pathology. 2019. ⟨dumas-02393259⟩

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