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人工关节感染管理执行摘要。西班牙传染病与临床微生物学会(SEIMC)临床实践指南

Executive summary of management of prosthetic joint infections. Clinical practice guidelines by the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC).

作者信息

Ariza Javier, Cobo Javier, Baraia-Etxaburu Josu, Benito Natividad, Bori Guillermo, Cabo Javier, Corona Pablo, Esteban Jaime, Horcajada Juan Pablo, Lora-Tamayo Jaime, Murillo Oscar, Palomino Julián, Parra Jorge, Pigrau Carlos, Del Pozo José Luis, Riera Melchor, Rodríguez Dolores, Sánchez-Somolinos Mar, Soriano Alex, Del Toro M Dolores, de la Torre Basilio

机构信息

Servicio de Enfermedade Infecciosas, Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain.

Servicio de Enfermedades Infecciosas, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.

出版信息

Enferm Infecc Microbiol Clin. 2017 Mar;35(3):189-195. doi: 10.1016/j.eimc.2016.08.012. Epub 2017 Feb 16.

DOI:10.1016/j.eimc.2016.08.012
PMID:28215487
Abstract

The incidence of prosthetic joint infection (PJI) is expected to increase in the coming years. PJI has serious consequences for patients, and high costs for the health system. The complexity of these infections makes it necessary to organize the vast quantity of information published in the last several years. The indications for the choice of a given surgical strategy and the corresponding antimicrobial therapy are specifically reviewed. The authors selected clinically relevant questions and then reviewed the available literature in order to give recommendations according to a pre-determined level of scientific evidence. The more controversial aspects were debated, and the final composition was agreed at an ad hoc meeting. Before its final publication, the manuscript was made available online in order that all SEIMC members were able to read it and make comments and suggestions.

摘要

预计未来几年人工关节感染(PJI)的发病率将会上升。PJI对患者有严重后果,对卫生系统而言成本高昂。这些感染的复杂性使得有必要整理过去几年发表的大量信息。本文特别回顾了特定手术策略选择的指征以及相应的抗菌治疗。作者选择了临床相关问题,然后回顾现有文献,以便根据预先确定的科学证据水平给出建议。对更具争议性的方面进行了讨论,并在一次特别会议上商定了最终内容。在最终发表之前,该手稿在网上公布,以便西班牙传染病和临床微生物学会(SEIMC)的所有成员都能阅读并提出意见和建议。

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