Relation Between Prosthetic Joint Infections and Haematoma Contamination in Acute Fracture of the Neck of Femur
Hammad, A., Samwel, S., El khadrawe, T., Asser, S. (2026). Relation Between Prosthetic Joint Infections and Haematoma Contamination in Acute Fracture of the Neck of Femur. EKB Journal Management System, 35(1), -. doi: 10.21608/ejmm.2025.394678.1716
Abdullah . Hammad; Simion B. Samwel; Tarek A. El khadrawe; Sara L. Asser. "Relation Between Prosthetic Joint Infections and Haematoma Contamination in Acute Fracture of the Neck of Femur". EKB Journal Management System, 35, 1, 2026, -. doi: 10.21608/ejmm.2025.394678.1716
Hammad, A., Samwel, S., El khadrawe, T., Asser, S. (2026). 'Relation Between Prosthetic Joint Infections and Haematoma Contamination in Acute Fracture of the Neck of Femur', EKB Journal Management System, 35(1), pp. -. doi: 10.21608/ejmm.2025.394678.1716
Hammad, A., Samwel, S., El khadrawe, T., Asser, S. Relation Between Prosthetic Joint Infections and Haematoma Contamination in Acute Fracture of the Neck of Femur. EKB Journal Management System, 2026; 35(1): -. doi: 10.21608/ejmm.2025.394678.1716

Relation Between Prosthetic Joint Infections and Haematoma Contamination in Acute Fracture of the Neck of Femur

Egyptian Journal of Medical Microbiology
Article 30, Volume 35, Issue 1, January 2026  XML
Document Type: New and original researches in the field of Microbiology.
DOI: 10.21608/ejmm.2025.394678.1716
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Authors
Abdullah . Hammad1; Simion B. Samwel1; Tarek A. El khadrawe1; Sara L. Asser email orcid 2
1Department of Orthopedic Surgery and Traumatology, Faculty of Medicine University of Alexandria, Egypt
2Department of Medical Microbiology and Immunology, Faculty of Medicine University of Alexandria, Egypt
Abstract
Background: The exact cause of positive intraoperative hematoma culture is unknown. Its incidence in the literature is about 11-35%. Objectives: This study aimed to evaluate positive intraoperative hematoma culture and its correlation to early postoperative prosthetic joint infection in the neck of femur fracture. Methodology: A prospective observational study was performed. 40 patients who underwent hip arthroplasty for femoral neck fracture were included. Two samples were taken and inoculated into conventional culture agar plate and BACT/ALERT. Patients received prophylaxis antibiotics with Teicoplanin 400mg. Results: A total of 40 patients were included in the study. In 16 patients (40%) intraoperative hematoma culture was positive by BACT/ALERT. Five patients (12.5%) developed an early prosthetic joint infection, four of them were positive for intraoperative hematoma culture. The rate of early wound infection in the group with positive hematoma contamination was 10% and in the negative hematoma culture was 2.5%. Conclusion: Intraoperative hematoma culture results using BACT/ALERT showed a statistically significant relation with clinical infections with an almost perfect measure of agreement.
Keywords
Prosthetic joint infections; haematoma culture; BACT/ALERT
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