Continuous local antibiotic perfusion technique for surgical site infections after shoulder surgery

Yohei Shimada, MD; Nobuyasu Ochiai, MD; Eiko Hashimoto, MD; Daisuke Kajiwara, MD; Yu Hiraoka, MD; Kenta Inagaki, MD; Seiji Ohtori, MD; Hisateru Niki, MD

JSES Reviews, Reports, and Techniques (Aug 2024)

Continuous local antibiotic perfusion technique for surgical site infections after shoulder surgery

Yohei Shimada, MD,
Nobuyasu Ochiai, MD,
Eiko Hashimoto, MD,
Daisuke Kajiwara, MD,
Yu Hiraoka, MD,
Kenta Inagaki, MD,
Seiji Ohtori, MD,
Hisateru Niki, MD

Affiliations

Yohei Shimada, MD: Department of Orthopedic Surgery, St. Marianna University School of Medicine, Kanagawa, Japan; Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan
Nobuyasu Ochiai, MD: Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan; Corresponding author: Nobuyasu Ochiai, MD, Department of Orthopedic Surgery, Graduate School of Medicine Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan.
Eiko Hashimoto, MD: Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan
Daisuke Kajiwara, MD: Department of Orthopedic Surgery, Numazu City Hospital, Sizuoka, Japan
Yu Hiraoka, MD: Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan
Kenta Inagaki, MD: Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan
Seiji Ohtori, MD: Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan
Hisateru Niki, MD: Department of Orthopedic Surgery, St. Marianna University School of Medicine, Kanagawa, Japan

Journal volume & issue: Vol. 4, no. 3
pp. 419 – 423

Abstract

Read online

Background: Continuous local antibiotic perfusion (CLAP) is a method for preserving tissue and function against surgical site infections (SSIs) after shoulder surgery. Methods: To describe the application of the novel CLAP technique to 10 patients with SSIs after shoulder surgery that were not controlled with repeated surgical débridement or elderly patients who are insufficient physical resilience for further surgeries. Results: CLAP, consisting of gentamicin, was performed for 2 weeks, after which the infection was well-controlled. The white blood cell count and C-reactive protein level improved rapidly within 1 week of initiating CLAP, after which the patients were switched to oral antibiotics for 3 months. None of the patients experienced any adverse events. Conclusion: CLAP for SSIs after shoulder surgery was successful in preserving implants and grafts. The SSIs were controlled with no adverse events. CLAP may be an important treatment option for SSIs after shoulder surgery.

Published in JSES Reviews, Reports, and Techniques

ISSN: 2666-6391 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: https://www.journals.elsevier.com/jses-reviews-reports-and-techniques/

About the journal

Abstract

Keywords