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Prosthetic joint infection (PJI) management is complex and requires prosthesis replacement when symptoms duration is greater than 30 days or debridement with modular set replacement when symptoms duration is lesser than one month. Nevertheless, the prolonged suppressive antibiotherapy (PSA) is the single treatment we can provide to high risk surgical patients and those who refuse reoperation.
There is limited data available on PSA modality, its tolerance and efficacy, this lack of data motivated us to concept a prospective study of long term patient follow up with PJI treated with prolonged suppressive antibiotherapy.
Main objective:
Quality of life assessment of patients undergoing prolonged suppressive antibiotherapy for PJI.
Secondary objectives:
Methods:
The follow up oh this cohort will be conducted using 3 questionaries related to quality of life, joint stiffness and depressive symptoms.
Study type:
This is a study of health care procedure, evaluating the quality of life of patients undergoing prolonged suppressive antibiotherapy for PJI.
Sample size: all patients cared by our referral center of bone and joint infection, who meet protocol selection criteria will be included in the study, thus we are expecting to recruit 60 patients.
Study duration: 6 years.
Recruitment period: 4 years.
Maximal duration of data collection: 2 years.
Investigator center: Single center study.
Mean patient inclusion per year: 15 patients per year.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Quality of life questionary | Other | During this study of health and care procedure, we will assess the quality of life of patients treated with suppressive antibiotique therapy using three questionaries:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Quality of life questionary | Other | Patients will be asked to fill out the questionaries before treatment initiation and at 3, 6 , 12 and 24 months after antibiotherapy initiation. |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life assessment of patients undergoing prolonged suppressive antibiotherapy for PJI. | Method assessment : Short Form 12 questionary (SF12) | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| 1. Depressive symptoms assessment in patients undergoing prolonged suppressive antibiotherapy for PJI. | Method assessment : Beck depression inventory (BDI) | 2 years |
| 2. Functional assessment in patients undergoing prolonged suppressive antibiotherapy for PJI. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Younes KERROUMI, MD | Contact | (+33) 1 44 64 33 84 | ykerroumi@hopital-dcss.org |
| Name | Affiliation | Role |
|---|---|---|
| Simon MARMOR, MD | Groupe Hospitalier Diaconesses Croix Saint-Simon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Groupe Hospitalier Diaconesses Croix saint Simon | Recruiting | Paris | 75020 | France |
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Method assessment : Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) |
| 2 years |
| 3. Evaluation of PSA side effects | Method assessment : anamnesis and clinical examination | 2 years |
| 4. Evaluation of nutritional status | Method assessment : BMI and proteinuria measurement | 2 years |
| 5. Evaluation of PSA termination criteria | Monitoring :
| 2 years |
| Groupe Hospitalier Dianconesses croix saint Simon | Recruiting | Paris | Île-de-France Region | 75020 | France |
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