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在一家专业的三级保健中心,清创术、抗菌药物治疗和保留假体治疗急性链球菌性人工关节感染的治愈率高。

High Cure Rate for Acute Streptococcal Prosthetic Joint Infections Treated With Debridement, Antimicrobials, and Implant Retention in a Specialized Tertiary Care Center.

机构信息

Division of Infectious Diseases, Inflammation Center, Finland.

Department of Orthopedics and Traumatology, Helsinki University Hospital and University of Helsinki, Finland.

出版信息

Clin Infect Dis. 2018 Sep 28;67(8):1288-1290. doi: 10.1093/cid/ciy335.

Abstract

Streptococcal prosthetic joint infections (PJIs) treated with debridement, exchange of removable parts, antibiotics, and implant retention within 3 weeks from symptom onset had an implant survival rate of 97.9% and an implant survival rate without suppressive antimicrobials of 80.9%. Treatment centralization for acute streptococcal PJIs to specialized centers makes excellent cure rates possible.

摘要

在发病后 3 周内接受清创术、可移动部件更换、抗生素治疗和保留植入物治疗的链球菌性人工关节感染(PJIs),其植入物存活率为 97.9%,无抑制性抗菌药物治疗的植入物存活率为 80.9%。将急性链球菌性 PJIs 集中到专门中心进行治疗,可以实现极好的治愈率。

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