Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Apr 18, 2023; 14(4): 240-247
Published online Apr 18, 2023. doi: 10.5312/wjo.v14.i4.240
Knowledge and attitudes of orthopedic surgeons regarding prosthesis joint infection
Mahmut Nedim Aytekin, Imran Hasanoglu, Recep Öztürk, Nihat Tosun
Mahmut Nedim Aytekin, Nihat Tosun, Department of Orthopedics and Traumatology, Ankara Yıldırım Beyazıt University, Faculty of Medicine, Ankara 06500, Turkey
Imran Hasanoglu, Department of Infectious Diseases and Clinical Microbiology, Ankara Yıldırım Beyazıt University, Faculty of Medicine, Ankara City Hospital, Ankara 06500, Turkey
Recep Öztürk, Department of Orthopedics and Traumatology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara 06200, Turkey
Author contributions: Aytekin MN and Hasanoglu I designed the manuscript and collected the data; Öztürk R performed the data analysis and wrote the manuscript; Tosun N contributed by critically reviewing the manuscript; and all authors have read and approved the manuscript.
Institutional review board statement: This study is a survey study and as a result, these data are exempt from ethics committee approval.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Recep Öztürk, MD, Associate Professor, Researcher, Surgeon, Surgical Oncologist, Department of Orthopedics and Traumatology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Demetevler Mahallesi, Vatan Cad., Ankara 06200, Turkey. ozturk_recep@windowslive.com
Received: November 19, 2022
Peer-review started: November 19, 2022
First decision: February 20, 2023
Revised: February 25, 2023
Accepted: April 6, 2023
Article in press: April 6, 2023
Published online: April 18, 2023
Processing time: 149 Days and 12.9 Hours
Abstract
BACKGROUND

Periprosthetic joint infection (PJI) is a critical complication after joint arthroplasty and is accompanied by increasing rates of morbidity and mortality. Several studies have aimed at preventing PJI.

AIM

To research the knowledge level and attitudes of orthopedic surgeons, who play a key role in both preventing and managing PJI.

METHODS

We conducted a web-based survey to evaluate orthopedic surgeons' knowledge level and attitudes regarding PJI. The Likert scale survey utilized consisted of 30 questions which were prepared based on the "Proceedings of the International Consensus on Periprosthetic Joint Infection".

RESULTS

A total of 264 surgeons participated in the survey. Their average age was 44.8, and 173 participants (65.5%) had more than 10 years of experience. No statistically significant relationship was found between the PJI knowledge of the surgeons and their years of experience. However, participants who worked in training and research hospitals demonstrated higher levels of knowledge than the ones in the state hospitals. It was also noticed that surgeons' knowledge concerning the duration of antibiotic therapy and urinary infections was not consistent with their attitudes.

CONCLUSION

Even though orthopedic surgeons have adequate knowledge about preventing and managing PJI, their attitudes might contradict their knowledge. Future studies are required to examine the causes and solutions of the contradictions between orthopedic surgeons' knowledge and attitudes.

Keywords: Antibiotic prophylaxis; Periprosthetic joint infection; Prevention; Total joint replacement; Turkey

Core Tip: In this study, researching the knowledge level and attitudes of orthopedic surgeons, who play a key role in both preventing and managing prosthesis joint infections, has been aimed.