Universität zu Köln

Otto-Lambertz, Christina ORCID: 0000-0003-4083-7078, Yagdiran, Ayla ORCID: 0000-0002-1723-5995, Schmidt-Hellerau, Kirsten, Meyer-Schwickerath, Charlotte ORCID: 0000-0001-6711-6516, Eysel, Peer and Jung, Norma (2021). Establishment of an interdisciplinary board for bone and joint infections. Infection, 49 (6). S. 1213 - 1221. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1439-0973

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Abstract

Purpose The incidence of bone and joint infections is increasing while their treatment remains a challenge. Although guidelines and recommendations exist, evidence is often lacking and treatment complicated by complex clinical presentations and therapeutic options. Interdisciplinary boards shown to improve management of other diseases, seem potentially helpful. We describe the establishment of an osteomyelitis board to show the existing demand for such a platform. Methods All patients discussed in the board for bone and joint infections between October 2014 and September 2020 were included in this retrospective study. Data were extracted from patient records and analyzed descriptively. Results A total of 851 requests related to 563 patients were discussed in the board during the study period. After a run-in period of 3 years, a stable number of cases (> 170/year) were discussed, submitted by nearly all hospital departments (22 of 25). Recommendations were mainly related to antibiotic treatment (43%) and to diagnostics (24%). Periprosthetic joint infections were the most frequent entity (33%), followed by native vertebral osteomyelitis and other osteomyelitis. In 3% of requests, suspected infection could be excluded, in 7% further diagnostics were recommended to confirm or rule out infection. Conclusions A multidisciplinary board for bone and joint infections was successfully established, potentially serving as a template for further boards. Recommendations were mainly related to antibiotic treatment and further diagnostics, highlighting the need for interdisciplinary discussion to individualize and optimize treatment plans based on guidelines. Further research in needed to evaluate impact on morbidity, mortality and costs.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Otto-Lambertz, Christina UNSPECIFIED orcid.org/0000-0003-4083-7078 UNSPECIFIED Yagdiran, Ayla UNSPECIFIED orcid.org/0000-0002-1723-5995 UNSPECIFIED Schmidt-Hellerau, Kirsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Meyer-Schwickerath, Charlotte UNSPECIFIED orcid.org/0000-0001-6711-6516 UNSPECIFIED Eysel, Peer UNSPECIFIED UNSPECIFIED UNSPECIFIED Jung, Norma UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-564663
DOI:	10.1007/s15010-021-01676-9
Journal or Publication Title:	Infection
Volume:	49
Number:	6
Page Range:	S. 1213 - 1221
Date:	2021
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1439-0973
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DISEASE CONSULTATION; KNEE ARTHROPLASTY; SURVEILLANCE; IMPACT; MANAGEMENT; DIAGNOSIS; HIP Multiple languages Infectious Diseases Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56466