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Orthopaedic Proceedings
Vol. 106-B, Issue SUPP_19 | Pages 20 - 20
22 Nov 2024
Elder A Wijendra A Hotchen A Wangrangsimakul T Young B Barrett L Ferguson J
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Aim

An instrumented blood culture system automatically flags when growth within the culture medium has been detected (‘work in progress’), and subsequently when the organism has been identified.

We explore using this data to switch patients to oral therapy within 72 hours post-surgery, reducing costs and improving antimicrobial stewardship.

Method

This retrospective review focused on clinically significant culture-positive bone and joint infections over a 5-month period in 2022. Two cohorts were defined as either having positive intraoperative microbiology at <72 hours or at ≥72 hours.