髋关节或膝关节置换术前的术前抽吸培养用于术前诊断感染。
Preoperative aspiration culture for preoperative diagnosis of infection in total hip or knee arthroplasty.
机构信息
Department of Orthopedics, Shanghai Key Laboratory of Orthopedic Implant, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
出版信息
J Clin Microbiol. 2013 Nov;51(11):3830-4. doi: 10.1128/JCM.01467-13. Epub 2013 Aug 14.
Abstract
This meta-analysis evaluated preoperative aspiration culture for diagnosing prosthetic joint infection (PJI) in total hip arthroplasty (THA) and total knee arthroplasty (TKA). The pooled sensitivity and specificity were 0.72 (95% confidence interval, 0.65 to 0.78) and 0.95 (0.93 to 0.97), respectively. Subgroup analyses revealed nonsignificant worse diagnostic performance for THA than for TKA (sensitivity, 0.70 versus 0.78; specificity, 0.94 versus 0.96). Preoperative aspiration culture has moderate to high sensitivity and very high specificity for diagnosing PJI.
摘要
这项荟萃分析评估了术前抽吸培养在全髋关节置换术 (THA) 和全膝关节置换术 (TKA) 中诊断人工关节感染 (PJI) 的作用。汇总的敏感性和特异性分别为 0.72（95%置信区间，0.65 至 0.78）和 0.95（0.93 至 0.97）。亚组分析显示，THA 的诊断性能略逊于 TKA（敏感性，0.70 对 0.78；特异性，0.94 对 0.96）。术前抽吸培养对诊断 PJI 具有中等到高度的敏感性和非常高的特异性。
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