Sugarman B, Young E J
Michigan State University, East Lansing.
Infect Dis Clin North Am. 1989 Jun;3(2):187-98.
The number and diversity of prosthetic devices inserted into patients continue to increase each year. Despite technological advances in the design and manufacture of prostheses and improved surgical techniques, infection remains a serious and potentially fatal complication. Although the incidence of serious infections remains low (averaging a few per cent for totally implanted devices), the consequences of an infected prosthesis can be disastrous. The incidence of infections related to temporary or partially implanted devices is even higher than for prostheses completely covered by the skin. In addition to excess morbidity and occasionally mortality, prosthesis-related infections add to the costs of medical care and to prolonged hospitalization. the magnitude of the problem is greatly underappreciated, in part due to the care of such infections on a piecemeal basis by numerous and diverse health care specialists.
植入患者体内的假体装置的数量和种类每年都在持续增加。尽管假体的设计和制造技术取得了进步，手术技术也有所改进，但感染仍然是一种严重且可能致命的并发症。虽然严重感染的发生率仍然很低（完全植入式装置平均为百分之几），但感染的假体所带来的后果可能是灾难性的。与临时或部分植入式装置相关的感染发生率甚至高于完全被皮肤覆盖的假体。除了过高的发病率以及偶尔出现的死亡率外，与假体相关的感染还增加了医疗费用和延长了住院时间。这个问题的严重性在很大程度上未得到充分认识，部分原因是众多不同的医疗保健专家对这类感染进行的是零散的治疗。
