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病例报告——全膝关节置换术后感染的一期手术及利奈唑胺治疗

Case Report - Infection of Total Knee Arthroplasty Treated with One-Stage Surgery and Linezolid.

作者信息

Dell'Aquila Adriana Macedo, Janovsky Cesar, Cohen Moises

机构信息

Department of Medicine/ Infectious Diseases Physician and Department of Orthopedics and Traumatology - Federal University of São Paulo, Brazil.

Department of Orthopedics and Traumatology/ Orthopedist - Federal University of São Paulo, Brazil.

出版信息

J Bone Jt Infect. 2017 Aug 31;2(3):163-166. doi: 10.7150/jbji.19574. eCollection 2017.

DOI:10.7150/jbji.19574
PMID:28894692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5592377/
Abstract

spp meticillin resistant infection can be treated with Linezolid. This is a case report of an orthopaedic implant infection in a 60 year-old male treated orally with Linezolid and Rifampicin for three months after one-stage arthroplasty. This is possible provided that platelet count is closely monitored throughout the course of treatment.

摘要

耐甲氧西林葡萄球菌感染可用利奈唑胺治疗。本文报告1例60岁男性患者,在一期关节置换术后,口服利奈唑胺和利福平治疗3个月,发生骨科植入物感染。只要在整个治疗过程中密切监测血小板计数,这种治疗方法是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c88c/5592377/4200e9a6bb0e/jbjiv02p0163g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c88c/5592377/20b3394b1187/jbjiv02p0163g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c88c/5592377/c4dc7581ef1c/jbjiv02p0163g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c88c/5592377/4200e9a6bb0e/jbjiv02p0163g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c88c/5592377/20b3394b1187/jbjiv02p0163g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c88c/5592377/c4dc7581ef1c/jbjiv02p0163g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c88c/5592377/4200e9a6bb0e/jbjiv02p0163g003.jpg

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本文引用的文献

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2
Clinical experience with linezolid for the treatment of orthopaedic implant infections.利奈唑胺治疗骨科植入物感染的临床经验。
J Antimicrob Chemother. 2014 Sep;69 Suppl 1:i47-52. doi: 10.1093/jac/dku252.
3
Implant sonication increases the diagnostic accuracy of infection in patients with delayed, but not early, orthopaedic implant failure.
超声处理可提高延迟而非早期骨科植入物失败患者感染的诊断准确性。
Bone Joint J. 2013 Feb;95-B(2):244-9. doi: 10.1302/0301-620X.95B2.30486.
4
Optimizing combination rifampin therapy for staphylococcal osteoarticular infections.优化利福平联合治疗葡萄球菌骨关节感染。
Joint Bone Spine. 2013 Jan;80(1):11-7. doi: 10.1016/j.jbspin.2012.09.008. Epub 2013 Jan 14.
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Diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America.人工关节感染的诊断和治疗:美国传染病学会临床实践指南。
Clin Infect Dis. 2013 Jan;56(1):e1-e25. doi: 10.1093/cid/cis803. Epub 2012 Dec 6.
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Decreased serum linezolid concentrations in two patients receiving linezolid and rifampicin due to bone infections.两名因骨感染同时接受利奈唑胺和利福平治疗的患者血清利奈唑胺浓度降低。
Scand J Infect Dis. 2012 Jul;44(7):548-50. doi: 10.3109/00365548.2012.663931. Epub 2012 Mar 4.
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Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children.美国传染病学会发布的耐甲氧西林金黄色葡萄球菌感染成人和儿童治疗临床实践指南。
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