在接受过手术治疗的全踝关节置换术（TAA）假体周围关节感染（PJI）患者中，使用抑制性抗生素是否有作用？
Is There a Role for Suppressive Antibiotics in Patients With Periprosthetic Joint Infection (PJI) of Total Ankle Arthroplasty (TAA) Who Have Undergone Surgical Treatment?
机构信息
1 North Carolina Orthopaedic Clinic, Duke University, Durham, NC, USA.
出版信息
Foot Ankle Int. 2019 Jul;40(1_suppl):48S. doi: 10.1177/1071100719861093.
PMID:31322965
Abstract
RECOMMENDATION
Culture-directed antibiotic therapy is recommended for patients undergoing operative treatment of infected total ankle arthroplasty (TAA). Routine administration of suppressive antibiotics in patients with an ankle prosthesis in place is not warranted; however, in certain clinical circumstances, this may be of benefit.
LEVEL OF EVIDENCE
Consensus.
DELEGATE VOTE
Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus).
摘要
建议
对于接受感染性全踝关节置换术（TAA）手术治疗的患者，推荐采用基于培养的靶向抗生素治疗。对于已植入踝关节假体的患者，常规给予抑菌性抗生素治疗并无指征；然而，在某些临床情况下，可能会有益处。
证据等级
共识。
代表投票
同意：100%，不同意：0%，弃权：0%（一致通过，最强共识）。
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