title: Total knee arthroplasty in women with asymptomatic urinary tract infection.
abstract: OBJECTIVE
  To compare early outcome after total knee arthroplasty (TKA) in women with a positive or negative urine culture.
  
  
  METHODS
  128 women underwent bilateral (n=89) or unilateral (n=39) primary TKA. Diabetes mellitus was present in 38%, obesity in 53%, and asymptomatic urinary tract infection (positive urine culture) in 36% of women. Women with a positive or negative urine culture were compared.
  
  
  RESULTS
  In the 46 women with a positive urine culture, Escherichia coli (n=29) and Klebsiella (n=17) were grown. Women with a positive or negative urine culture were comparable in terms of the incidence of diabetes (28% vs. 43%, p=0.1), obesity (52% vs. 54%, p=0.87), fever (9% vs. 15%, p=0.32), leucocytosis (28% vs. 17%, p=0.13), and delayed wound healing (0% vs. 1%, p=0.45).
  
  
  CONCLUSIONS
  Women with or without a positive urine culture had comparable early complication rates following TKA.
authors.affiliation: Sant Parmanand Hospital, India.
authors.forename: Harjoban
authors.initials: H
authors.lastname: Singh
authors.forename: Simon
authors.initials: S
authors.lastname: Thomas
authors.forename: Shekhar
authors.initials: S
authors.lastname: Agarwal
authors.forename: Subhash C
authors.initials: SC
authors.lastname: Arya
authors.forename: Shekhar
authors.initials: S
authors.lastname: Srivastav
authors.forename: Naresh
authors.initials: N
authors.lastname: Agarwal
mesh_terms: D000328:Adult; D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D015994:Incidence; D007592:Joint Diseases / Q000150:complications* / Q000601:surgery*; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000150:complications* / Q000382:microbiology
keywords: arthroplasty, replacement, knee; urinary tract infections