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全关节置换术中感染预防的控制策略

Control Strategies for Infection Prevention in Total Joint Arthroplasty.

作者信息

Elbuluk Ameer M, Novikov David, Gotlin Matthew, Schwarzkopf Ran, Iorio Richard, Vigdorchik Jonathan

机构信息

Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.

Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, 301 East 17th Street, New York, NY 10003, USA.

出版信息

Orthop Clin North Am. 2019 Jan;50(1):1-11. doi: 10.1016/j.ocl.2018.08.001.

Abstract

Despite the development of newer preventative measures, the rate of infection continues to be approximately 1% for patients undergoing total joint arthroplasty (TJA). The extent of the infection can range from a mild superficial infection to a more serious periprosthetic joint infection (PJI). PJIs not only play a significant role in the clinical well-being of the TJA patient population, but also have substantial economic implications on the health care system. Several approaches are currently being used to mitigate the risk of PJI after TJA. The variety of prophylactic measures to prevent infection after TJA must be thoroughly discussed and evaluated.

摘要

尽管有了更新的预防措施,但全关节置换术(TJA)患者的感染率仍持续约为1%。感染程度可从轻度浅表感染到更严重的假体周围关节感染(PJI)。PJI不仅对TJA患者群体的临床健康有重大影响,还对医疗保健系统有重大经济影响。目前正在采用几种方法来降低TJA后发生PJI的风险。必须对TJA后预防感染的各种预防措施进行充分讨论和评估。

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