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脊柱术后感染患者的随访。

The follow-up of patients with postoperative infection of the spine.

作者信息

Barrey C, Launay O, Freitas E, Michel F, Laurent F, Chidiac C, Perrin G, Ferry T

机构信息

Service de Neurochirurgie C et Chirurgie du Rachis, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, France Hospices Civils de Lyon, Lyon, France.

出版信息

Eur J Orthop Surg Traumatol. 2013 Jul;23 Suppl 1:S29-34. doi: 10.1007/s00590-013-1243-9. Epub 2013 May 28.

Abstract

The follow-up of patients with postoperative infection of the spine required a multidisciplinary teamwork under the guidance of the spine surgeon and the infectious disease (ID) specialist. During follow-up, the spine surgeon has to ensure the absence of neurological, mechanical and implant-related complications using clinical parameters and different imaging modalities. The ID physician has to give particular attention to antimicrobial efficacy and toxicity, especially during the first weeks when patients necessitate high-dose intravenous treatment.

摘要

脊柱术后感染患者的随访需要在脊柱外科医生和传染病(ID)专家的指导下进行多学科协作。在随访期间,脊柱外科医生必须利用临床参数和不同的影像学检查手段,确保不存在神经、机械和植入物相关并发症。传染病科医生必须特别关注抗菌药物的疗效和毒性,尤其是在患者需要大剂量静脉治疗的最初几周。

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