老年人的化脓性关节炎和人工关节感染。
Septic Arthritis and Prosthetic Joint Infections in Older Adults.
机构信息
Department of Internal Medicine, University of Iowa Carver College of Medicine, Newton Road, Iowa City, IA 52242, USA; The Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City Veterans Affairs Healthcare System, 601 Highway 6 West, Iowa City, IA 52246, USA.
Department of Internal Medicine, University of Iowa Carver College of Medicine, Newton Road, Iowa City, IA 52242, USA; The Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City Veterans Affairs Healthcare System, 601 Highway 6 West, Iowa City, IA 52246, USA.
出版信息
Infect Dis Clin North Am. 2017 Dec;31(4):715-729. doi: 10.1016/j.idc.2017.07.013.
Older adults are at increased risk for septic arthritis and prosthetic joint infections (PJI), owing at least in part to comorbid conditions and frailty. An increasing number of older adults undergo total joint arthroplasty to improve their quality of life. Infections in older adults differ from younger populations by the causative organisms, a great proportion of which are Staphylococcal infections. Targeting important modifiable and nonmodifiable risk factors may prevent or reduce the burden of joint infections in older adults. This review summarizes the epidemiology, pathogenesis, clinical manifestations, diagnosis, management, and prevention of septic arthritis and PJI in older adults.
老年人发生化脓性关节炎和人工关节感染（PJI）的风险增加，这至少部分归因于合并症和虚弱。越来越多的老年人接受全关节置换术以提高生活质量。老年人的感染与年轻人群不同，病原体中很大一部分是葡萄球菌感染。针对重要的可改变和不可改变的危险因素可能预防或减少老年人关节感染的负担。这篇综述总结了老年人化脓性关节炎和人工关节感染的流行病学、发病机制、临床表现、诊断、治疗和预防。
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