Evidence map›Paper›PMID 37901121›Full record

ArticleOpen forum infectious diseases2023

Should We Use Rifampicin in Periprosthetic Joint Infections Caused by Staphylococci When the Implant Has Been Exchanged? A Multicenter Observational Cohort Study.

Tobias Siegfried Kramer, Alex Soriano, Sarah Tedeschi, Antonia F Chen, Pierre Tattevin, Eric Senneville, Joan Gomez-Junyent, Victoria Birlutiu, Sabine Petersdorf, Vicens Diaz de Brito and 3 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Implant-associatedJournal of clinical orthopaedics and trauma · 2024
    Article
  8. Article
  9. Review
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 13 institutions in 7 countries.

Tobias Siegfried KramerInstitute for Hygiene and Environmental Medicine, Charité Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-2728-9399
Alex SorianoDepartment of Infectious Diseases, University of Barcelona, IDIBAPS, Hospital Clinic of Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0002-9374-0811
Sarah TedeschiDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Antonia F ChenBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Pierre TattevinInfectious Diseases and Intensive Care Unit, Pontchaillou University Hospital, Rennes, France.ORCID https://orcid.org/0000-0003-3617-5411
Eric SennevilleFrench National Referent Centre for Complex Bone and Joint Infections, CRIOAC Lille-Tourcoing, Lille, France.
Joan Gomez-JunyentDepartment of Infectious Diseases, Hospital del Mar, Infectious Pathology and Antimicrobial Research Group (IPAR), Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Universitat Autònoma de Barcelona (UAB), CEXS-Universitat Pompeu Fabra, Barcelona, Spain.
Victoria BirlutiuClinical Hospital of Orthopedics, Traumatology, and Osteoarticular TB, B-dul Ferdinand 35-37, Sector 2 Bucharest, Romania.
Sabine PetersdorfInstitute for Medical Laboratory Diagnostics, Helios University Clinic Wuppertal, Wuppertal, Germany.
Vicens Diaz de BritoDepartment of Infectious Diseases, Parc Sanitari Sant Joan de Deu, Sant Boi (Barcelona), Spain.
Ignacio Sancho GonzalezServicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Navarra, Pamplona, España.
Katherine A BeldenDivision of Infectious Diseases, Sidney Kimmel Medical College at Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Marjan Wouthuyzen-BakkerDepartment of Medical Microbiology and Infection Prevention, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Azienda USL di Bologna · ITBrigham and Women's Hospital · USCentre Hospitalier de Tourcoing · FRHelios Universitätsklinikum Wuppertal · DEHôpital Pontchaillou · FRHospital Clínic de Barcelona · ESKlinikverbund Südwest · DELucian Blaga University of Sibiu · ROParc Sanitari Sant Joan de Déu · ESThomas Jefferson University Hospital · USUniversidad de Navarra · ESUniversitat Autònoma de Barcelona · ESUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Previous studies demonstrated the efficacy of a rifampicin-based regimen in the treatment of acute staphylococcal periprosthetic joint infections (PJIs) treated with surgical debridement. However, evidence is lacking to support the use of rifampicin in cases where the implant is exchanged during revision. Methods: We included all consecutive cases of staphylococcal PJIs treated from January 2013 to December 2018 with revision surgery in this international, retrospective, multicenter observational cohort study. PJI was defined according to the European Bone and Joint Infection Society diagnostic criteria. A relapse or reinfection during follow-up, the need for antibiotic suppressive therapy, the need for implant removal, and PJI-related death were defined as clinical failure. Cases without reimplantation or with follow-up <12 months were excluded. Results: A total of 375 cases were included in the final analysis, including 124 1-stage exchanges (33.1%) and 251 2-stage exchanges (66.9%). Of those, 101 cases failed (26.9%). There was no statistically significant difference in failure of patients receiving rifampicin (22.5%, 42/187) and those not receiving rifampicin (31.4%, 59/188; Conclusions: Combination treatment with rifampicin increases treatment success in patients with chronic staphylococcal PJI treated with 2-stage exchange arthroplasty.

Indexed as

periprosthetic joint infectionPJIrifampicinrifampinstaphylococci

Identifiers

PMID37901121
PMCPMC10604993
OpenAlexW4387396823

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.