Chirca Ioana, Marculescu Camelia
Department of infectious Diseases, University Hospital, 1350 Walton Way, Augusta, GA 30909, USA.
Division of Infectious Diseases, Medical University of South Carolina, 171 Ashley Avenue, Charleston, SC 29425, USA.
Infect Dis Clin North Am. 2017 Jun;31(2):253-263. doi: 10.1016/j.idc.2017.01.011. Epub 2017 Mar 11.
Total joint arthroplasty is a generally safe orthopedic procedure; however, infection is a potentially devastating complication. Multiple risk factors have been identified for development of prosthetic joint infections. Identification of patients at risk and preoperative correction of known risk factors, such as smoking, diabetes mellitus, anemia, malnutrition, and decolonization of Staphylococcus carriers, represent well-established actions to decrease the infection risk. Careful operative technique, proper draping and skin preparation, and appropriate selection and dosing of antimicrobials for perioperative prophylaxis are also very important in prevention of infection.
全关节置换术是一种总体上安全的骨科手术；然而，感染是一种潜在的毁灭性并发症。已确定了多种导致人工关节感染的危险因素。识别有风险的患者并在术前纠正已知的危险因素，如吸烟、糖尿病、贫血、营养不良以及葡萄球菌携带者的去定植，是降低感染风险的既定措施。仔细的手术技术、正确的铺巾和皮肤准备，以及围手术期预防用抗菌药物的恰当选择和剂量，对预防感染也非常重要。
