Parvizi Javad, Koo Kyung-Hoi
Department of Orthopedic Surgery, Rothman Orthopaedic Institute, Philadelphia, PA, USA.
Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Hip Pelvis. 2019 Mar;31(1):1-3. doi: 10.5371/hp.2019.31.1.1. Epub 2019 Mar 5.
Periprosthetic joint infection (PJI) is one of the most serious complications after total joint arthroplasty (TJA). The prevalence of urinary tract infection (UTI) is common, particularly among elderly women, a group for whom TJA may be required. The association between preoperative UTI and increased risk of PJI after TJA is unclear. We reviewed key articles concerning the relationship between UTIs and PJI, and summarized recommendations of international consensus on PJI, which was established in Philadelphia in July of 2018. In addition, we distinguish between symptomatic UTI and asymptomatic bacteriuria, because their causative effects on PJI are quite different.
人工关节周围感染（PJI）是全关节置换术（TJA）后最严重的并发症之一。尿路感染（UTI）很常见，尤其是在老年女性中，而这一群体可能需要进行TJA。TJA术前UTI与PJI风险增加之间的关联尚不清楚。我们回顾了有关UTI与PJI关系的关键文章，并总结了2018年7月在费城达成的关于PJI的国际共识的建议。此外，我们区分了有症状的UTI和无症状菌尿，因为它们对PJI的致病作用有很大不同。
