Infection Control and Hospital Epidemiology · 2004 · 28 citations · 10 references
MedicineOrthopaedic SurgeryOrthopedic SurgeryBacteriologyMedical MicrobiologyOrthopedicsInfection ManagementOrthopedic InfectionPostoperative Orthopaedic InfectionSurgical Infection ManagementSurgical Site InfectionWound InfectionBacterial Culture DiagnosisBacterial Wound InfectionIntraoperative MicrobiologyNegative Predictive Value AssessmentPositive Predictive ValuePositive Predictive Value AnalysisSurgical Site Infection DetectionWound Infection Assessment
OBJECTIVE: To determine whether bacterial cultures of the wounds of patients undergoing clean orthopedic surgery would help predict infection. METHODS: During 1 year, 1,256 cultures were performed for 1,102 patients who underwent clean orthopedic surgery. Results were analyzed to evaluate their ability to predict postoperative infection. RESULTS: The sensitivity, specificity, positive predictive value, and negative predictive value of the cultures were 38%, 92%, 7%, and 99%, respectively. CONCLUSIONS: Cultures performed during clean orthopedic surgery were not useful for predicting postoperative infection.
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Michael M. Tunney, Sheila Patrick, Martin D. Curran et al. · Journal of Clinical Microbiology · 1999 · 454 citations · Full text