Department of Orthopaedic Surgery, Mount Sinai School of Medicine, New York, New York.
Department of Orthopaedic Surgery, Mount Sinai School of Medicine, New York, New York; Department of Orthopaedic Surgery, Joint Replacement Center, Mount Sinai Hospital, New York, New York.
J Arthroplasty. 2014 Feb;29(2):272-6. doi: 10.1016/j.arth.2013.06.019. Epub 2013 Jul 24.
Surgical site infections after hip and knee arthroplasty can be devastating if they lead to periprosthetic joint infection. We examined the prevalence of the modifiable risk factors for surgical site infection described by the American Academy of Orthopaedic Surgery Patient Safety Committee. Our study of 300 cases revealed that only 20% of all cases and 7% of revision cases for infection had no modifiable risk factors. The most common risk factors were obesity (46%), anemia (29%), malnutrition (26%), and diabetes (20%). Cases with obesity or diabetes were associated with all histories of remote orthopedic infection, 89% of urinary tract infections, and 72% of anemia cases. The high prevalence of several modifiable risk factors demonstrates that there are multiple opportunities for perioperative optimization of such comorbidities.
髋关节和膝关节置换术后的手术部位感染如果导致假体周围关节感染，可能会带来灾难性的后果。我们研究了美国骨科医师学会患者安全委员会描述的可改变的手术部位感染风险因素的流行情况。我们对 300 例病例的研究表明，所有病例中只有 20%，感染翻修病例中只有 7%没有可改变的风险因素。最常见的风险因素是肥胖（46%）、贫血（29%）、营养不良（26%）和糖尿病（20%）。肥胖或糖尿病病例与所有既往骨科感染史、89%的尿路感染和 72%的贫血病例有关。几种可改变的风险因素的高患病率表明，有多个机会可以在围手术期优化这些合并症。
