Evaluating antibiotic treatment after joint revision surgery for infection

Effect of Antibiotic Treatment Course on Clinical Outcome After Two-stage Revision of Prosthetic Joint Infection: A Prospective Cohort Study.

First Affiliated Hospital of Fujian Medical University · NCT05284318

This study is testing if a specific antibiotic treatment after joint revision surgery for infection can help patients recover better and prevent further infections.

Quick facts

Study typeObservational
Enrollment500 (estimated)
Ages18 Years and up
SexAll
SponsorFirst Affiliated Hospital of Fujian Medical University (other)
Locations1 site (Fuzhou, Fujian)
Trial IDNCT05284318 on ClinicalTrials.gov

What this trial studies

This multicenter prospective cohort study aims to assess the efficacy of antibiotic treatment following two-stage revision surgery for periprosthetic joint infection (PJI). Eligible patients, diagnosed with PJI and having undergone spacer implantation, will receive a tailored antibiotic regimen based on their clinical evaluation after the second stage of surgery. Participants will be monitored at multiple time points over a two-year period to evaluate infection control rates and treatment outcomes. The study seeks to provide insights into optimal antibiotic courses for managing PJI post-revision surgery.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 and older who have been diagnosed with PJI and have undergone spacer implantation followed by secondary joint revision.

Not a fit: Patients who do not have follow-up data available or those who do not comply with study requirements may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved treatment protocols for patients suffering from periprosthetic joint infections.

How similar studies have performed: While similar studies have explored antibiotic treatments for PJI, this specific approach focusing on two-stage revision surgery is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

\- 1. A diagnosis of PJI was made according to MSIS criteria. 2. Received spacer implantation and a full course of antibiotic treatment (at least 6 weeks), the patient was clinically determined to have infection control and underwent secondary joint revision.

3\. Age ≥18 years old. 4. The patient voluntarily participated in the study, and was physically and mentally tolerant to the treatment process and various tests of the study. He has signed an informed consent form and passed the examination of all the hospital ethics committees participating in the study.

Exclusion Criteria:

* 1\. Follow-up data not available. 2. Researchers judge that patients no longer meet the standards of the study due to compliance problems

Where this trial is running

Fuzhou, Fujian

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Periprosthetic Joint Infection, Anti-Bacterial Agents, Periprosthetic joint infection, Second-stage revision

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.