Treatment of Acinetobacter baumannii infection after total hip arthroplasty with debridement, irrigation, antibiotics and implant retention
Neşet Tang1
, Serdar Hakan Başaran1, Alkan Bayrak1, Levent Arslan2
1Department of Orthopedics and Traumatology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
2Department of Orthopedics and Traumatology, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey
Keywords: Acinetobacter baumannii, colistin, debridement, DAIR, total hip arthroplasty
Abstract
Prosthetic joint infection (PJI) is a devastating complication of arthroplasty. Prosthetic joint infection commonly needs a two-staged revision procedure with high complication rates. If the causative microorganism is Acinetobacter baumannii (A. baumannii), treatment is even more complicated. The treatment of PJI with multidrug-resistant gram-negative bacteria without implant removal is a rare occurrence. Herein, we report a 46-year-male that presented to our clinic due to right groin pain. After evaluations, we decided to perform total hip arthroplasty. Following an uneventful surgery, the patient was discharged home as routine practice. However, PJI with A. baumannii emerged within two weeks. We implemented debridement, irrigation, antibiotics, and implant retention (DAIR) since infection markers were low and the presentation was not severe. Success was achieved at the end of four weeks. The patient is functional and has no complaints at the time of writing this study. In conclusion, DAIR can be suitable for PJI with A. baumannii, and if PJI is diagnosed early, it can provide favorable results in a more accessible fashion.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.