{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T20:56:23Z","timestamp":1767905783132,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,10,24]],"date-time":"2018-10-24T00:00:00Z","timestamp":1540339200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Many pathogens of importance, including the staphylococcal species of concern in orthopaedics, demonstrate seasonal variations influenced by environmental factors. The aim of this study was to investigate the role of humidity as a risk factor for deep prosthetic joint infection following total knee arthroplasty (TKA) in a tropical Australian hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study of all TKAs performed over a 13\u2010year period was conducted at the author's institution. Univariate analysis was used to individually assess for a range of risk factors including humidity &gt;60% and apparent temperature &gt;30\u00b0C (86\u00b0F). Odds ratios (ORs) were reported. <jats:italic>P<\/jats:italic>\u2010values &lt;0.25 were considered as potentially important risk factors and <jats:italic>P<\/jats:italic>\u2010values &lt;0.05 were considered statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1058 primary TKAs were performed with a deep prosthetic joint infection incidence of 2.7%. Four potential risk factors were identified with <jats:italic>P<\/jats:italic>\u2010values &lt;0.25: (i) humidity &gt;60% (OR 1.4; 95% confidence interval (CI) 0.68\u20133.04; <jats:italic>P<\/jats:italic> = 0.221); (ii) apparent temperature &gt;30\u00b0C (86\u00b0F) (OR 2.4; 95% CI 0.56\u201310.1; <jats:italic>P<\/jats:italic> = 0.174); (iii) male gender (OR 2.2; 95% CI 1.02\u20134.81; <jats:italic>P<\/jats:italic> = 0.057); and (iv) American Society of Anesthesiologists score of III or IV (OR 2.1; 95% CI 1.00\u20134.49; <jats:italic>P<\/jats:italic> = 0.064).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Humidity and apparent temperature may be potentially important risk factors for infection following TKA.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14916","type":"journal-article","created":{"date-parts":[[2018,10,24]],"date-time":"2018-10-24T20:32:35Z","timestamp":1540413155000},"page":"1298-1301","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Humidity a potential risk factor for prosthetic joint infection in a tropical Australian hospital"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8209-5071","authenticated-orcid":false,"given":"Drew","family":"Armit","sequence":"first","affiliation":[{"name":"Department of Orthopedics Cairns Public Hospital  Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2831-404X","authenticated-orcid":false,"given":"Mark","family":"Vickers","sequence":"additional","affiliation":[{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Parr","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Cairns Public Hospital  Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Van Rosendal","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Cairns Public Hospital  Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Trott","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Cairns Public Hospital  Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rivindi","family":"Gunasena","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Cairns Public Hospital  Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Parkinson","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Cairns Public Hospital  Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.908483"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268818000614"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/23744235.2016.1212170"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit721"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(16)30064-X"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph110908996"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2012.03955.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3171\/2014.10.SPINE14559"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.3171\/2012.10.SPINE12572"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999.0000000000000144"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.10.043"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20140124-23"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000705"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000730"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/838913"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpids\/pix085"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/14.4.600"},{"key":"e_1_2_7_19_1","unstructured":"Australian Orthopaedic Association National Joint Replacement Registry.Hip Knee & Shoulder Arthroplasty: 2017 Annual Report. 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