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人工关节感染的诊断:培养、生物标志物与标准。

Diagnosis of Prosthetic Joint Infection: Cultures, Biomarker and Criteria.

作者信息

Gomez-Urena Eric O, Tande Aaron J, Osmon Douglas R, Berbari Elie F

机构信息

Division of Infectious Diseases, Mayo Clinic School of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA.

Division of Infectious Diseases, Mayo Clinic School of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA.

出版信息

Infect Dis Clin North Am. 2017 Jun;31(2):219-235. doi: 10.1016/j.idc.2017.01.008.

Abstract

Prosthetic joint infections (PJIs) are devastating complications after joint arthroplasty that continue to pose a diagnostic challenge. Currently, a single, stand-alone test with the adequate accuracy and reliability for diagnosis of PJI is not available; therefore, physicians who care for patients with PJI must rely on a combination of diagnostic tests for the diagnosis of PJI. This article reviews conventional laboratory test modalities, diagnostic accuracy and limitations of current tests, and novel emerging tests for the diagnosis of PJI.

摘要

人工关节感染(PJIs)是关节置换术后的严重并发症,仍然是一个诊断难题。目前,尚无一种诊断PJI的准确性和可靠性足够的单一独立检测方法;因此,治疗PJI患者的医生必须依靠多种诊断检测方法来诊断PJI。本文综述了传统实验室检测方法、当前检测方法的诊断准确性和局限性,以及用于诊断PJI的新兴检测方法。

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