膝关节置换术后人工关节感染的调查和处理：BASK 外科实践指南。
Investigation and management of prosthetic joint infection in knee replacement: A BASK Surgical Practice Guideline.
机构信息
British Association for Surgery of the Knee (BASK) Revision Knee Working Group, 35-43 Lincoln's Inn Fields, London, WC2A 3PE, United Kingdom of Great Britain and Northern Ireland.
British Association for Surgery of the Knee (BASK) Revision Knee Working Group, 35-43 Lincoln's Inn Fields, London, WC2A 3PE, United Kingdom of Great Britain and Northern Ireland.
出版信息
Knee. 2020 Dec;27(6):1857-1865. doi: 10.1016/j.knee.2020.09.010. Epub 2020 Nov 14.
BACKGROUND
The burden of knee replacement prosthetic joint infection (KR PJI) is increasing. KR PJI is difficult to treat, outcomes can be poor and it is financially expensive and limited evidence is available to guide treatment decisions.
AIM
To provide guidelines for surgeons and units treating KR PJI.
METHODS
Guideline formation by consensus process undertaken by BASK's Revision Knee Working Group, supported by outputs from UK-PJI meetings.
RESULTS
Improved outcomes should be achieved through provision of care by revision centres in a network model. Treatment of KR PJI should only be undertaken at specialist units with the required infrastructure and a regular infection MDT. This document outlines practice guidelines for units providing a KR PJI service and sets out: CONCLUSIONS: KR PJI patients treated within the NHS should be provided the best care possible. This report sets out guidance and support for surgeons and units to achieve this.
背景
膝关节置换假体关节感染（KR PJI）的负担正在增加。KR PJI 难以治疗，结果可能不佳，且费用高昂，目前仅有有限的证据可用于指导治疗决策。
目的
为治疗 KR PJI 的外科医生和单位提供指南。
方法
BASK 翻修膝关节工作组通过共识流程制定指南，得到 UK-PJI 会议成果的支持。
结果
通过网络模型中翻修中心提供的护理，应实现更好的结果。KR PJI 的治疗只能在具有必要基础设施和定期感染多学科团队的专业单位进行。本文件概述了提供 KR PJI 服务的单位的实践指南，并规定：结论：在国民保健制度下接受治疗的 KR PJI 患者应获得尽可能好的护理。本报告为外科医生和单位提供了指导和支持以实现这一目标。
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