Meta AnalysisID 7396

负载抗生素硫酸钙珠粒预防人工关节感染的有效性与安全性评价:系统评价

CRD42023489317

What are the outcomes of antibiotic-loaded calcium sulfate beads in prophylaxis of Prosthetic Joint Infections during major orthopaedic procedures

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Record Fields

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Meta Analysis Id
7396
Evidence Id
15954
Core Evidence Id
15954
Source Meta Analysis Id
7386
Herb2 Meta Analysis Id
HBMA007386
Crd Id
CRD42023489317
Title
Evaluating the Effectiveness and Safety of Antibiotic-Loaded Calcium Sulfate Beads in Prophylaxis of Prosthetic Joint Infections: A Systematic Review
Review Question
What are the outcomes of antibiotic-loaded calcium sulfate beads in prophylaxis of Prosthetic Joint Infections during major orthopaedic procedures
Study Type Included
Original research articles evaluating the effectiveness of antibiotic-loaded calcium sulfate beads in the prevention of prosthetic joint infections in orthopedic surgery will be included. Studies will need to provide a minimum of Level IV Evidence according to the Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence.
Condition Being Studied
Prosthetic Joint Infections (PJIs) represent one of the most severe complications following orthopedic surgical procedures, such as hip or knee arthroplasties. These infections can lead to significant patient morbidity, increased mortality, prolonged hospitalization, and substantial financial burden on the healthcare system. The condition under review is the prophylactic application of antibiotic-loaded calcium sulfate beads during major orthopaedic procedures to prevent the occurrence of PJIs.
Participant
Patients undergoing major orthopedic procedures, such as joint arthroplasty, without demographic limitations, and with the use of antibiotic-loaded calcium sulfate beads for infection prophylaxis.
Animal
Human Disease Modelled
Intervention
The intervention includes the use of antibiotic-loaded calcium sulfate beads during orthopedic procedures with the intent to prevent prosthetic joint infections. The type of antibiotics used, as well as the timing and method of bead application, will be considered.
Comparator Control
Patients undergoing similar orthopedic procedures without the application of antibiotic-loaded calcium sulfate beads or utilizing alternative infection prophylaxis strategies will comprise the control group.
Main Outcome
The occurrence of PJIs as diagnosed by clinical features alongside laboratory tests such as elevated C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), white blood cell (WBC) count, and/or positive microbial cultures from joint aspirates or periprosthetic tissues.
Outcome Measure
Additional Outcome
Adverse events associated with the use of antibiotic-loaded calcium sulfate beads, including allergic reactions, toxicity, and interference with bone healing or wound healing complications Reoperation Rates Due to Infection
Study Method
Meta-analysis, Systematic review
Keyword
MeSH headings have not been applied to this record
Contact
Vishwa Suravaram [email protected]
Organisational Affiliation
Department of Orthopaedics, The Orthopaedic Research Foundation of Western Australia (ORFWA), Fremantle and Fiona Stanley Hospitals, Perth, WA, Australia https://www.orfwa.com.au/
Funding Source
Nil
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
Australia
Review Stage
Review Ongoing
First Submission Date
2023-12-04
Registration Date
2023-12-14
Anticipated Start Date
2023-12-04
Anticipated Completion Date
2024-01-31
Title Cn
负载抗生素硫酸钙珠粒预防人工关节感染的有效性与安全性评价:系统评价
Title En
Evaluating the Effectiveness and Safety of Antibiotic-Loaded Calcium Sulfate Beads in Prophylaxis of Prosthetic Joint Infections: A Systematic Review
Bilingual Status
complete