[膝关节感染]

[Knee joint infections].

作者信息

Oestern S, Varoga D, Trompetter R, Lippross S, Klüter T, Weuster M, Schröder O, Seekamp A

机构信息

Abteilung für Unfallchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 7, 24105 Kiel.

出版信息

Unfallchirurg. 2013 Mar;116(3):255-68; quiz 269-70. doi: 10.1007/s00113-012-2325-6.

DOI:10.1007/s00113-012-2325-6

PMID:23478901

Abstract

Knee joint infection represents an emergency case at every age. Joint infection occurs frequently after trauma or joint surgery. The infection can be caused by numerous bacteria, viruses, or yeasts; however, Staphylococcus aureus is identified as the cause in 85-95 % of joint infections. Early treatment is important for patient outcome. In addition to synovectomy and therapeutic arthroscopy, antibiotic therapy is essential and should be started after sample recovery.

摘要

膝关节感染在各个年龄段都是急症。关节感染常在创伤或关节手术后频繁发生。感染可由多种细菌、病毒或酵母菌引起；然而，在85%至95%的关节感染病例中，金黄色葡萄球菌被确定为病因。早期治疗对患者预后很重要。除滑膜切除术和治疗性关节镜检查外，抗生素治疗必不可少，且应在采集样本后立即开始。