在接受全踝关节置换术（TAA）的患者中，应该实施哪些术前优化措施来降低手术部位感染/假体周围关节感染（SSI/PJI）的风险？
What Preoperative Optimization Should Be Implemented to Reduce the Risk of Surgical Site Infection/Periprosthetic Joint Infection (SSI/PJI) in Patients Undergoing Total Ankle Arthroplasty (TAA)?
机构信息
1 Ain Shams University Hospitals, Cairo, Egypt.
2 St. Alphonsus Regional Medical Center Coughlin Clinic, Boise, ID, USA.
出版信息
Foot Ankle Int. 2019 Jul;40(1_suppl):6S-8S. doi: 10.1177/1071100719857092.
RECOMMENDATION
We recommend that patients awaiting total ankle arthroplasty (TAA) be optimized prior to surgery by implementing skin cleansing, nutritional status enhancement, glycemic control, body mass index (BMI) optimization, smoking cessation, and management of immune-modulating comorbidities. At the time of surgery, there is strong evidence that optimal preparation of the surgical site with an alcohol-containing agent, weight-based and timely administration of antibiotic prophylaxis, and reducing operating room traffic should also be put in place.
LEVEL OF EVIDENCE
Moderate.
DELEGATE VOTE
Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus).
建议
我们建议等待行全踝关节置换术（TAA）的患者在手术前通过实施皮肤清洁、营养状况改善、血糖控制、体重指数（BMI）优化、戒烟以及免疫调节合并症的管理来进行优化。在手术时，有强有力的证据表明，用含酒精制剂对手术部位进行最佳准备、根据体重及时给予抗生素预防用药以及减少手术室人员流动也应到位。
证据等级
中等。
代表投票
同意：100%，不同意：0%，弃权：0%（一致同意，最强共识）。
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