减少人工关节周围感染：真正重要的是什么？
Reducing periprosthetic joint infection: what really counts?
作者信息
Solarino Giuseppe, Abate Antonella, Vicenti Giovanni, Spinarelli Antonio, Piazzolla Andrea, Moretti Biagio
机构信息
Orthopaedic Units, Department of Basic Medical Sciences, Neurosciences and Organs of Sense, University of Bari, Italy.
出版信息
Joints. 2016 Jan 31;3(4):208-14. doi: 10.11138/jts/2015.3.4.208. eCollection 2015 Oct-Dec.
Abstract
Periprosthetic joint infection (PJI) remains one of the most challenging complications after joint arthroplasty. Despite improvements in surgical techniques and in the use of antibiotic prophylaxis, it remains a major cause of implant failure and need for revision. PJI is associated with both human host-related and bacterial agent-related factors that can interact in all the phases of the procedure (preoperative, intraoperative and postoperative). Prevention is the first strategy to implement in order to minimize this catastrophic complication. The present review focuses on the preoperative period, and on what to do once risk factors are fully understood and have been identified.
摘要
人工关节周围感染（PJI）仍然是关节置换术后最具挑战性的并发症之一。尽管手术技术和抗生素预防措施有所改进，但它仍然是植入物失败和需要翻修的主要原因。PJI与人类宿主相关因素和细菌病原体相关因素都有关，这些因素在手术过程的所有阶段（术前、术中和术后）都可能相互作用。预防是为尽量减少这种灾难性并发症而应采取的首要策略。本综述重点关注术前阶段，以及在充分了解并识别风险因素后应采取的措施。
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