title: Preoperative asymptomatic leucocyturia and early prosthetic joint infections in patients undergoing joint arthroplasty.
abstract: Prosthetic joint infection (PJI) is associated with a higher mortality, morbidity and economic costs. Although it is well known that the presence of urinary tract infection (UTI) is associated with PJI, few investigations evaluated the preoperative asymptomatic leukocyturia (ASL) and the possible relationship with early PJI. We reviewed the records of 739 patients performed primary joint arthroplasty. A total of 131 patients had preoperative ASL (17.7%) and 7 of 739 patients (0.9%) had early PJI. Preoperative ASL was not confirmed as a risk factor for early PJI on the multivariate regression analysis with an adjusted OR of 1.04 (P>0.05). Therefore, it should not be considered as a reason for postponement of total joint arthroplasty.
authors.affiliation: Department of Orthopedics, Chinese PLA General Hospital, Beijing China.
authors.forename: Wenlong
authors.initials: W
authors.lastname: Gou
authors.affiliation: Department of Orthopedics, Chinese PLA General Hospital, Beijing China.
authors.forename: Jiying
authors.initials: J
authors.lastname: Chen
authors.affiliation: Department of Orthopedics, Chinese PLA General Hospital, Beijing China.
authors.forename: Yanhui
authors.initials: Y
authors.lastname: Jia
authors.affiliation: Department of Orthopedics, Chinese PLA General Hospital, Beijing China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects; D000075202:Contraindications; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D007962:Leukocytes; D008297:Male; D008875:Middle Aged; D057234:Preoperative Period; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000652:urine*; D012189:Retrospective Studies; D012307:Risk Factors; D014556:Urine / Q000166:cytology*; D055815:Young Adult
keywords: asymptomatic leukocyturia; prosthetic joint infections; total hip arthroplasty; total knee arthroplasty; urinary tract infection