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Corticosteroid injections one month before arthroscopic meniscectomy increase the risk of surgical site infection

Arthroscopy Apr 03, 2021

Forsythe B, Forlenza EM, Agarwalla A, et al. - Using data from the Humana administrative claims database, researchers herein described the incidence of postoperative infections in patients who receive corticosteroid injections prior to arthroscopic meniscectomy. In addition, they examined if there is a temporal correlation between injections and the risk of surgical site infections and investigated corresponding risk factors. They recognized 11,652 patients with and 37,261 patients without a history of a knee corticosteroid injection within 1 year of arthroscopic meniscectomy with at least 6 months of database activity from 2007-2017. In multivariate logistic regression: following were noted as significant predictors: male gender, diabetes, COPD, obesity, tobacco use and preoperative injections within 1 month of surgery. Observations revealed significantly increased risk of surgical site injection among patients who received injections 1 month before arthroscopic meniscectomy. However, administration of injections can be safely done more than 1 month prior to surgery, as there is no elevated risk of postoperative infection at this timepoint.

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