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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Infection Around Hip After A Replacement Surgery

my husband had a total hip replacement 11 yrs ago, and ended up with an infection. It was his third hip joint and continues to have an infection to this day. He has been on Cipro-1000mg a day. He recently had double hernia surgery and developed an infection on the side where his hip infection is. It took six months to heal, and did so, for a month. It has now re-occurred. Do you think the two are related? Has the hip infection moved? Is it possible?Sharon
Thu, 31 Mar 2016
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Infectious Diseases Specialist,  's  Response
Hi,
Welcome to HCM.
I understand your concern regarding your husbands recurring infection.
The most common cause of recurrent infection is the occurrence of resistance in bacteria causing infection.
The bacteria develop resistance due to prolonged use of antibiotics and irrational use of broad spectrum antibiotics.
It is very necessary to do a culture and sensitivity of the pus from the wound before continuing any antibiotic.
I suggest you get a repeat culture and sensitivity of both hip joint wound and the hernia wound and get a prescription for appropriate antibiotic based on that test.
You can also detect if the same organism has caused infection in both sites.
There is a possibility of the organism causing infection in the hip spread to the hernia due to close vicinity of the wounds, but it should be confirmed by culture only.
Proper care and dressing of the wounds is a must to decrease the occurrence of infection.
I hope I have answered your query satisfactorily.
Wishing your husband a speedy recovery.
Thanks.
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Suggest Medication For Infection Around Hip After A Replacement Surgery

Hi, Welcome to HCM. I understand your concern regarding your husbands recurring infection. The most common cause of recurrent infection is the occurrence of resistance in bacteria causing infection. The bacteria develop resistance due to prolonged use of antibiotics and irrational use of broad spectrum antibiotics. It is very necessary to do a culture and sensitivity of the pus from the wound before continuing any antibiotic. I suggest you get a repeat culture and sensitivity of both hip joint wound and the hernia wound and get a prescription for appropriate antibiotic based on that test. You can also detect if the same organism has caused infection in both sites. There is a possibility of the organism causing infection in the hip spread to the hernia due to close vicinity of the wounds, but it should be confirmed by culture only. Proper care and dressing of the wounds is a must to decrease the occurrence of infection. I hope I have answered your query satisfactorily. Wishing your husband a speedy recovery. Thanks.