Marmor S, Kerroumi Y
Service de chirurgie orthopédique, groupe hospitalier diaconesses Croix-Saint-Simon, 125, rue d'Avron, 75020 Paris, France.
Service de chirurgie orthopédique, groupe hospitalier diaconesses Croix-Saint-Simon, 125, rue d'Avron, 75020 Paris, France.
Orthop Traumatol Surg Res. 2016 Feb;102(1 Suppl):S113-9. doi: 10.1016/j.otsr.2015.05.012. Epub 2016 Jan 19.
All patients are not equally at risk when it comes to postoperative infections, whether the risks are related to the environment or the patient. Patient-specific infection risk factors for arthroplasty should be a focal point during the preoperative consultation as they impact the treatment decision. Eighty percent of patients have at least one modifiable infection risk factor. These risk factors must be corrected preoperatively whenever possible so that the patient is operated under the best possible conditions, with the lowest possible infection risk. The screenings and preoperative preparations are multidisciplinary but must also involve the patient. The information provided to the patient must match the patient's infectious risk profile. This lecture will review every infection risk factor, whether it is modifiable or not, and then suggest how the treatment decision should be adapted to each patient's infection risk.
在术后感染方面，并非所有患者面临的风险都是相同的，无论这些风险是与环境还是患者自身相关。关节置换术患者特定的感染风险因素应成为术前会诊的重点，因为它们会影响治疗决策。80%的患者至少有一个可改变的感染风险因素。只要有可能，这些风险因素必须在术前得到纠正，以便患者在尽可能最佳的条件下接受手术，将感染风险降至最低。筛查和术前准备是多学科的，但也必须让患者参与其中。向患者提供的信息必须与患者的感染风险状况相匹配。本次讲座将回顾每一个感染风险因素，无论其是否可改变，然后提出治疗决策应如何根据每位患者的感染风险进行调整。
