全关节置换术前是否应治疗尿路感染？
Should a Urinary Tract Infection Be Treated before a Total Joint Arthroplasty?
作者信息
Parvizi Javad, Koo Kyung-Hoi
机构信息
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.
出版信息
Hip Pelvis. 2019 Mar;31(1):1-3. doi: 10.5371/hp.2019.31.1.1. Epub 2019 Mar 5.
Abstract
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.
摘要
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。
相似文献
1
Should a Urinary Tract Infection Be Treated before a Total Joint Arthroplasty?全关节置换术前是否应治疗尿路感染？
Hip Pelvis. 2019 Mar;31(1):1-3. doi: 10.5371/hp.2019.31.1.1. Epub 2019 Mar 5.
2
Lower Urinary Tract Infection and Periprosthetic Joint Infection after Elective Primary Total Hip Arthroplasty.择期初次全髋关节置换术后的下尿路感染及人工关节周围感染
Hip Pelvis. 2017 Mar;29(1):30-34. doi: 10.5371/hp.2017.29.1.30. Epub 2017 Mar 6.
3
[Bacteriuria and Symptomatic Urinary Tract Infections during Antimicrobial Prophylaxis in Patients with Short-Term Urinary Catheters - Prospective Randomised Study in Patients after Joint Replacement Surgery].[短期留置导尿管患者抗菌药物预防期间的菌尿症和有症状的尿路感染——关节置换术后患者的前瞻性随机研究]
Acta Chir Orthop Traumatol Cech. 2017;84(5):368-371.
4
Patients with a History of Treated Septic Arthritis are at High Risk of Periprosthetic Joint Infection after Total Joint Arthroplasty.治疗过的脓毒性关节炎患者在全关节置换术后发生假体周围关节感染的风险很高。
Clin Orthop Relat Res. 2019 Jul;477(7):1605-1612. doi: 10.1097/CORR.0000000000000688.
5
Do urinary tract infections affect the rate of periprosthetic joint infections in patients who underwent arthroplasty surgery? A systematic review and meta-analysis.尿路感染是否会影响接受关节置换手术患者的人工关节周围感染率？一项系统评价和荟萃分析。
Tzu Chi Med J. 2024 May 27;36(3):275-283. doi: 10.4103/tcmj.tcmj_309_23. eCollection 2024 Jul-Sep.
6
The Effect of Implementing a Multimodal Approach on the Rates of Periprosthetic Joint Infection After Total Joint Arthroplasty.实施多模式方法对全关节置换术后假体周围关节感染率的影响。
J Arthroplasty. 2016 Feb;31(2):451-5. doi: 10.1016/j.arth.2015.08.043. Epub 2015 Sep 9.
7
Preoperative Opioids Increase the Risk of Periprosthetic Joint Infection After Total Joint Arthroplasty.术前使用阿片类药物会增加全膝关节置换术后假体周围关节感染的风险。
J Arthroplasty. 2018 Oct;33(10):3246-3251.e1. doi: 10.1016/j.arth.2018.05.027. Epub 2018 May 29.
8
Is asymptomatic bacteriuria a noticeable risk factor for periprosthetic joint infection following total joint arthroplasty? A systematic review and meta-analysis.无症状菌尿是否是全膝关节置换术后假体周围关节感染的显著危险因素？系统评价和荟萃分析。
Arch Orthop Trauma Surg. 2024 Dec;144(12):5205-5216. doi: 10.1007/s00402-024-05415-1. Epub 2024 Jul 15.
9
The impact of preoperative bacteriuria on the risk of periprosthetic joint infection after primary knee or hip replacement: a retrospective study with a 1-year follow up.术前菌尿对初次膝关节或髋关节置换术后假体周围关节感染风险的影响：一项 1 年随访的回顾性研究。
Clin Microbiol Infect. 2018 Apr;24(4):376-380. doi: 10.1016/j.cmi.2017.07.022. Epub 2017 Jul 29.
10
Acute Kidney Injury Following Failed Total Hip and Knee Arthroplasty.全髋关节和全膝关节置换术后急性肾损伤。
J Arthroplasty. 2018 Oct;33(10):3297-3303. doi: 10.1016/j.arth.2018.06.019. Epub 2018 Jun 20.
引用本文的文献
1
Indwelling Catheters Should Be Restricted in Primary and Revision Arthroplasty: A Retrospective Analysis After Changes to Hospital Standard Perioperative Treatment Protocol.初次和翻修关节置换术中应限制留置导管的使用：医院围手术期标准治疗方案变更后的回顾性分析
Antibiotics (Basel). 2025 Apr 2;14(4):368. doi: 10.3390/antibiotics14040368.
2
Incontinence Is an Independent Risk Factor for Total Hip and Knee Arthroplasty.尿失禁是全髋关节和膝关节置换术的独立危险因素。
Arthroplast Today. 2024 Mar 14;27:101355. doi: 10.1016/j.artd.2024.101355. eCollection 2024 Jun.
3
Impact of preoperative urinary tract infection on postoperative outcomes following total shoulder arthroplasty for osteoarthritis.术前尿路感染对骨关节炎全肩关节置换术后结局的影响。
Shoulder Elbow. 2023 Sep;15(1 Suppl):100-110. doi: 10.1177/17585732221127590. Epub 2022 Sep 18.
4
Knowledge and attitudes of orthopedic surgeons regarding prosthesis joint infection.骨科医生对人工关节感染的认知与态度。
World J Orthop. 2023 Apr 18;14(4):240-247. doi: 10.5312/wjo.v14.i4.240.
5
Predicting Need for Skilled Nursing or Rehabilitation Facility after Outpatient Total Hip Arthroplasty.预测门诊全髋关节置换术后对专业护理或康复机构的需求
Hip Pelvis. 2022 Dec;34(4):227-235. doi: 10.5371/hp.2022.34.4.227. Epub 2022 Dec 3.
6
Incidence and risk factors for periprosthetic joint infection: A common data model analysis.假体周围关节感染的发生率和危险因素：一个通用数据模型分析。
Jt Dis Relat Surg. 2022;33(2):303-313. doi: 10.52312/jdrs.2022.671. Epub 2022 Jul 6.
7
Impact of a mobile decision support tool on antimicrobial stewardship indicators in St. John's, Canada.移动决策支持工具对加拿大圣约翰斯抗菌药物管理指标的影响。
PLoS One. 2021 Jun 16;16(6):e0252407. doi: 10.1371/journal.pone.0252407. eCollection 2021.
8
Using implementation science to develop and implement a guideline to reduce unnecessary preoperative testing for asymptomatic bacteriuria prior to elective arthroplasty.运用实施科学来制定并实施一项指南，以减少择期关节置换术前无症状菌尿的不必要术前检查。
J Bone Jt Infect. 2020 Dec 21;6(3):57-62. doi: 10.5194/jbji-6-57-2020. eCollection 2020.
9
Assessment of periprosthetic joint infection prevention methods amongst Turkish orthopedic surgeons in total joint replacement: A survey.土耳其骨科医生在全关节置换中预防人工关节周围感染方法的评估：一项调查
Jt Dis Relat Surg. 2020;31(2):230-237. doi: 10.5606/ehc.2020.71425. Epub 2020 Jun 18.
本文引用的文献
1
General Assembly, Prevention, Host Related Local: Proceedings of International Consensus on Orthopedic Infections.大会、预防、宿主相关局部：骨科感染国际共识会议论文集
J Arthroplasty. 2019 Feb;34(2S):S3-S12. doi: 10.1016/j.arth.2018.09.049. Epub 2018 Oct 21.
2
Research progress of asymptomatic bacteriuria before arthroplasty: A systematic review.关节置换术前无症状菌尿的研究进展：一项系统综述
Medicine (Baltimore). 2018 Feb;97(7):e9810. doi: 10.1097/MD.0000000000009810.
3
Antibiotic treatment of asymptomatic bacteriuria prior to hip and knee arthroplasty; a systematic review of the literature.髋关节和膝关节置换术前无症状菌尿的抗生素治疗：文献系统评价。
Surgeon. 2018 Jun;16(3):176-182. doi: 10.1016/j.surge.2017.08.007. Epub 2017 Nov 22.
4
Pre-operative urinary tract infection: is it a risk factor for early surgical site infection with hip fracture surgery? A retrospective analysis.术前尿路感染：它是髋部骨折手术早期手术部位感染的危险因素吗？一项回顾性分析。
JRSM Open. 2017 Feb 1;8(3):2054270416675083. doi: 10.1177/2054270416675083. eCollection 2017 Mar.
5
Lower Urinary Tract Infection and Periprosthetic Joint Infection after Elective Primary Total Hip Arthroplasty.择期初次全髋关节置换术后的下尿路感染及人工关节周围感染
Hip Pelvis. 2017 Mar;29(1):30-34. doi: 10.5371/hp.2017.29.1.30. Epub 2017 Mar 6.
6
Screening Patients Undergoing Total Hip or Knee Arthroplasty with Perioperative Urinalysis and the Effect of a Practice Change on Antimicrobial Use.对接受全髋关节或膝关节置换术的患者进行围手术期尿液分析筛查以及实践改变对抗菌药物使用的影响。
Infect Control Hosp Epidemiol. 2017 Mar;38(3):281-286. doi: 10.1017/ice.2016.272. Epub 2016 Nov 21.
7
Prevalence of asymptomatic bacteriuria in knee arthroplasty patients and subsequent risk of prosthesis infection.膝关节置换术患者无症状菌尿症的患病率及随后的假体感染风险。
Eur J Orthop Surg Traumatol. 2016 Feb;26(2):209-14. doi: 10.1007/s00590-015-1720-4. Epub 2015 Nov 11.
8
Antibiotics for asymptomatic bacteriuria.无症状菌尿的抗生素治疗
Cochrane Database Syst Rev. 2015 Apr 8;4(4):CD009534. doi: 10.1002/14651858.CD009534.pub2.
9
Is asymptomatic bacteriuria a risk factor for prosthetic joint infection?无症状菌尿是人工关节感染的危险因素吗？
Clin Infect Dis. 2014 Jul 1;59(1):41-7. doi: 10.1093/cid/ciu235. Epub 2014 Apr 9.
10
Is there any benefit in pre-operative urinary analysis before elective total joint replacement?择期全关节置换术前进行尿分析是否有益？
Bone Joint J. 2014 Mar;96-B(3):390-4. doi: 10.1302/0301-620X.96B3.32620.
Zotero 插件