人工关节置换和人工心脏瓣膜患者泌尿生殖系统手术抗生素预防的最新进展

Update on Antibiotic Prophylaxis for Genitourinary Procedures in Patients with Artificial Joint Replacement and Artificial Heart Valves.

作者信息

Mazur Daniel J, Fuchs Daniel J, Abicht Travis O, Peabody Terrance D

机构信息

Department of Urology, Feinberg School of Medicine, Northwestern University, 303 East Chicago Avenue, Tarry 16-703, Chicago, IL 60611, USA.

Department of Orthopedic Surgery, Feinberg School of Medicine, Northwestern University, 676 North Saint Clair, Suite 1350, Chicago, IL 60611, USA.

出版信息

Urol Clin North Am. 2015 Nov;42(4):441-7. doi: 10.1016/j.ucl.2015.06.003.

DOI:10.1016/j.ucl.2015.06.003

PMID:26475941

Abstract

Infection of artificial joint replacements and heart valves is an uncommon but serious complication encountered anytime after the implantation of these prostheses. It is known that bacteremia can lead to infection of a prosthetic device. However, there is no strong evidence to correlate urologic procedures with the development of periprosthetic joint infection or prosthetic valve endocarditis. Therefore, antibiotic prophylaxis for the prevention of endocarditis is not recommended in patients undergoing urologic procedures. However, guidelines regarding prophylaxis to prevent infection of an artificial joint in the setting of a genitourinary procedure are more varied.

摘要

人工关节置换物和心脏瓣膜感染是这些假体植入后任何时间都可能遇到的一种罕见但严重的并发症。已知菌血症可导致假体装置感染。然而，没有强有力的证据表明泌尿外科手术与人工关节周围感染或人工瓣膜心内膜炎的发生有关。因此，不建议在接受泌尿外科手术的患者中进行预防心内膜炎的抗生素预防。然而，关于在泌尿生殖系统手术中预防人工关节感染的预防指南则更为多样。