Overview
based on international guide lines, antibiotic prophylaxis in Orthoaedic major surgery has to be done with a Cephalosporin 1st generation (e.g. Cefazolin 1 g 30' before surgery).
Since more than 10 years ago the investigators started evaluatinf infections in such a surgery, well demosntrating a level below 1% and, more important, a responsability of MRSA. considering Cephalosporin 1st generation useful but not determinat in such a surgery, investigators consider the use of a Glycopepide (Vancocyn 1 g in Very short. The primary outcome is to evaluate the validity of such proposal, performing a study of prevalence.
Description
Patients enrolled in the study have to follow rhese steps:
T0: Clinical evaluation and Cephalosporin VSS prophylaxis, as usual T1: Surgery for TKA or THA T2: Post-operative --> control and, if an infextion is supposed, Coltural examination and ABG T3: Post-op orthopedic control at 6 months, to evaluate any possible infection T4: Post-op clinical valuation at 12 months, with the same goal
Eligibility
Inclusion Criteria:
Patiens male and female, old more than 40 years TKA or THA Surgeryntervento di chirurgia
protesica ASAC II or even III, without any acute coexisting disease Informed consent -
Exclusion Criteria:Patients with infection before surgery Immunocompromise patient (e.g.
Diabeties with glicate HB indicating a metabolic bad compensation) Patient with coagulation
disorders Pregnancy Informed consent denied
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