Temporal Change of Interleukin-6, C-Reactive Protein, and Skin Temperature after Total Knee Arthroplasty Using Triclosan-Coated Sutures.

The risk of surgical site infections (SSIs) after total knee arthroplasty (TKA) can never be eliminated. Antimicrobial sutures containing triclosan have been used to decrease SSIs, but whether triclosan-coated sutures are effective with TKA is unclear. Between 2011 and 2012, 102 patients randomly as...

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Publicado en:BioMed Research International Vol. 2018; pp. 1 - 10
Autores principales: Lin, Shih-Jie, Chang, Fu-Chun, Huang, Tsan-Wen, Peng, Kuo-Ti, Shih, Hsin Nung, Lee, Mel S.
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell 1/15/2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1/15/2018
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      pub: Wiley-Blackwell
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        10.1155/2018/9136208
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        atl: Temporal Change of Interleukin-6, C-Reactive Protein, and Skin Temperature after Total Knee Arthroplasty Using Triclosan-Coated Sutures.
      aug:
        au:
          Lin, Shih-Jie
          Chang, Fu-Chun
          Huang, Tsan-Wen
          Peng, Kuo-Ti
          Shih, Hsin Nung
          Lee, Mel S.
        affil: Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan
      sug:
        subj:
          Arthroplasty, Replacement, Knee
          Sutures
          Triclosan Therapeutic Use
          C-Reactive Protein Blood
          Human
          Orthopedic Surgery
          Interleukins Blood
          Skin Temperature Evaluation
          Surgical Wound Infection
          Patient Selection
          Control Group
          Prospective Studies
          Incidence
          Length of Stay
          Postoperative Complications
          After Care
          Randomized Controlled Trials
          Data Analysis Software
          Fisher's Exact Test
          Chi Square Test
          Male
          Female
          Aged
          Descriptive Statistics
          Aged: 65+ years
          Male
          Female
      ab: The risk of surgical site infections (SSIs) after total knee arthroplasty (TKA) can never be eliminated. Antimicrobial sutures containing triclosan have been used to decrease SSIs, but whether triclosan-coated sutures are effective with TKA is unclear. Between 2011 and 2012, 102 patients randomly assigned to a triclosan or a control group were prospectively assessed. The incidence of SSI within 3 months of surgery, length of hospital stay, pain scale, functional scores, wound condition, and serum inflammatory markers during hospitalization and within 3 months postoperatively were compared. At the final follow-up, there were 2 patients with superficial infections (3.9%) in the control group but none in the triclosan group. Lower serum IL-6 was detected in the triclosan group at 4 weeks and 3 months. The local skin temperature of the knees—recorded at 3 months using infrared thermography—was lower in the triclosan group than in the control group. More precise analytical measurements are needed to investigate local and systemic complications, especially in the early subclinical stage. This prospective, randomized, open-label clinical trial is in the public registry: ClinicalTrials.gov (<ext-link>NCT02533492</ext-link>).
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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