{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:54:50Z","timestamp":1791395690800,"version":"4.3.3"},"reference-count":41,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2015,7,8]],"date-time":"2015-07-08T00:00:00Z","timestamp":1436313600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec id=\"S0899823X15001488_abs1\" sec-type=\"general\"><jats:title>BACKGROUND<\/jats:title><jats:p>Hip or knee arthroplasty infection (HKAI) leads to heavy medical consequences even if rare.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X15001488_abs2\" sec-type=\"general\"><jats:title>OBJECTIVE<\/jats:title><jats:p>To assess the routine use of a hospital discharge detection algorithm of prosthetic joint infection as a novel additional tool for surveillance.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X15001488_abs3\" sec-type=\"methods\"><jats:title>METHODS<\/jats:title><jats:p>A historic 5-year cohort study was built using a hospital database of people undergoing a first hip or knee arthroplasty in 1 French region (2.5 million inhabitants, 39 private and public hospitals): 32,678 patients with arthroplasty code plus corresponding prosthetic material code were tagged. HKAI occurrence was then tracked in the follow-up on the basis of a previously validated algorithm using <jats:italic>International Statistical Classification of Disease, Tenth Revision,<\/jats:italic> codes as well as the surgical procedures coded. HKAI density incidence was estimated during the follow-up (up to 4 years after surgery); risk factors were analyzed using Cox regression.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X15001488_abs4\" sec-type=\"results\"><jats:title>RESULTS<\/jats:title><jats:p>A total of 604 HKAI patients were identified: 1-year HKAI incidence was1.31%, and density incidence was 2.2\/100 person-years in hip and 2.5\/100 person-years in knee. HKAI occurred within the first 30 days after surgery for 30% but more than 1 year after replacement for 29%. Patients aged 75 years or older, male, or having liver diseases, alcohol abuse, or ulcer sore had higher risk of infection. The inpatient case fatality in HKAI patients was 11.4%.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X15001488_abs5\" sec-type=\"conclusions\"><jats:title>CONCLUSIONS<\/jats:title><jats:p>The hospital database method used to measure occurrence and risk factors of prosthetic joint infection helped to survey HKAI and could optimize healthcare delivery.<\/jats:p><jats:p><jats:italic>Infect Control Hosp Epidemiol<\/jats:italic> 2015;36(10):1198\u20131207<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2015.148","type":"journal-article","created":{"date-parts":[[2015,7,8]],"date-time":"2015-07-08T04:32:19Z","timestamp":1436329939000},"page":"1198-1207","source":"Crossref","is-referenced-by-count":51,"title":["Surgical Site Infection After Primary Hip and Knee Arthroplasty: A Cohort Study Using a Hospital 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