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基于人工关节周围感染经验对脊柱周围植入物感染诊断和治疗的启示——文献比较与综述

Implications for diagnosis and treatment of peri-spinal implant infections from experiences in periprosthetic joint infections-a literature comparison and review.

作者信息

Karczewski Daniel, Pumberger Matthias, Müller Michael, Andronic Octavian, Perka Carsten, Winkler Tobias

机构信息

Center for Musculoskeletal Surgery, Charité - Universitaetsmedizin Berlin, Berlin, Germany.

Balgrist University Hospital, University of Zurich, Zurich, Switzerland.

出版信息

J Spine Surg. 2020 Dec;6(4):800-813. doi: 10.21037/jss-20-12.


DOI:10.21037/jss-20-12
PMID:33447686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7797793/
Abstract

Both, periprosthetic joint infection (PJI) and peri-spinal implant infection (PSII) are serious complications occurring in arthroplasty and spine instrumentation with absolute numbers expected to rise in the next years. The currently existing literature data describing the characteristics of PSII are limited when compared to PJI studies. However, both PJI and PSII exhibit similarities concerning pathogenesis, symptoms, diagnosis, treatment and prognosis. This literature review aims at comparing PJI and PSII and to develop implications for diagnosis and treatment of PSII from existing studies about PJI. The review was performed on the basis of a structured PubMed, Cochrane Library, and Medline analysis and existing guidelines, with 99 references being included. The results indicate that specific terms like re-infection should be defined in the context of PSII based on existing definitions of PJI, that biofilm studies and studies analyzing different prosthesis surfaces in arthroplasty could be used for PSII, and that histopathology as an additional standard tool in PSII diagnosis might be helpful. In addition, the development of a standardized algorithm-based treatment system with antibiotic protocols, including long term suppression, for PSII similar to the ones existing for PJI is necessary.

摘要

人工关节周围感染(PJI)和脊柱植入物周围感染(PSII)都是关节置换术和脊柱内固定术中出现的严重并发症,预计未来几年其绝对病例数将会增加。与PJI研究相比,目前描述PSII特征的文献数据有限。然而,PJI和PSII在发病机制、症状、诊断、治疗和预后方面存在相似之处。这篇文献综述旨在比较PJI和PSII,并根据现有的PJI研究对PSII的诊断和治疗提出启示。该综述基于结构化的PubMed、Cochrane图书馆和Medline分析以及现有指南进行,共纳入99篇参考文献。结果表明,应根据现有的PJI定义在PSII背景下定义诸如再感染等特定术语,关节置换术中的生物膜研究和分析不同假体表面的研究可用于PSII,并且组织病理学作为PSII诊断中的一种额外标准工具可能会有所帮助。此外,有必要开发一种基于标准化算法的治疗系统,该系统具有类似于PJI现有抗生素方案的PSII抗生素方案,包括长期抑制。

相似文献

[1]
Implications for diagnosis and treatment of peri-spinal implant infections from experiences in periprosthetic joint infections-a literature comparison and review.

J Spine Surg. 2020-12

[2]
Postoperative Spinal Implant Infections (PSII)-A Systematic Review: What Do We Know So Far and What is Critical About It?

Global Spine J. 2022-7

[3]
The Role of Long-Term Antibiotic Suppression in the Management of Peri-Prosthetic Joint Infections Treated With Debridement, Antibiotics, and Implant Retention: A Systematic Review.

J Arthroplasty. 2020-4

[4]
Prosthesis design of animal models of periprosthetic joint infection following total knee arthroplasty: A systematic review.

PLoS One. 2019-10-3

[5]
Quantification of Peri-Implant Bacterial Load and in Vivo Biofilm Formation in an Innovative, Clinically Representative Mouse Model of Periprosthetic Joint Infection.

J Bone Joint Surg Am. 2017-3-15

[6]
Treatment of acute periprosthetic infections with prosthesis retention: Review of current concepts.

World J Orthop. 2014-11-18

[7]
The Effect of Implementing a Multimodal Approach on the Rates of Periprosthetic Joint Infection After Total Joint Arthroplasty.

J Arthroplasty. 2016-2

[8]
Alpha-defensin-novel synovial fluid biomarker for the diagnosis of periprosthetic joint infection.

Int Orthop. 2016-12

[9]
Is surface modification effective to prevent periprosthetic joint infection? A systematic review of preclinical and clinical studies.

Orthop Traumatol Surg Res. 2019-6-19

[10]
Outcome of hip and knee periprosthetic joint infections caused by pathogens resistant to biofilm-active antibiotics: results from a prospective cohort study.

Arch Orthop Trauma Surg. 2018-5

引用本文的文献

[1]
Development and validation of a large animal ovine model for implant-associated spine infection using biofilm based inocula.

Biofilm. 2023-6-27

[2]
Global research characteristics and trends of infection after spinal implant surgery: a bibliometric analysis.

Ann Transl Med. 2023-3-31

[3]
Clinical Trial for the Safety and Feasibility of Pedicle Screws Coated with a Fibroblast Growth Factor-2-Apatite Composite Layer for Posterior Cervical Fusion Surgery.

J Clin Med. 2023-1-26

[4]
Postoperative Spinal Implant Infections (PSII)-A Systematic Review: What Do We Know So Far and What is Critical About It?

Global Spine J. 2022-7

本文引用的文献

[1]
High frequency of low-virulent microorganisms detected by sonication of pedicle screws: a potential cause for implant failure.

J Neurosurg Spine. 2019-5-28

[2]
Accuracy of Computed Tomography-Guided Joint Aspiration and Computed Tomography Findings for Prediction of Infected Hip Prosthesis.

J Arthroplasty. 2019-4-12

[3]
Intrawound vancomycin powder increases post-operative wound complications and does not decrease periprosthetic joint infection in primary total and unicompartmental knee arthroplasties.

Knee Surg Sports Traumatol Arthrosc. 2019-4-9

[4]
C-reactive protein misdiagnoses delayed postoperative spinal implant infections in patients with low-virulent microorganisms.

Eur Spine J. 2019-2-2

[5]
A standardized interdisciplinary algorithm for the treatment of prosthetic joint infections.

Bone Joint J. 2019-2

[6]
The Efficacy of Computed Tomography-Guided Percutaneous Spine Biopsies in Determining a Causative Organism in Cases of Suspected Infection: A Systematic Review.

Can Assoc Radiol J. 2019-2

[7]
Consensus document for the diagnosis of prosthetic joint infections: a joint paper by the EANM, EBJIS, and ESR (with ESCMID endorsement).

Eur J Nucl Med Mol Imaging. 2019-1-26

[8]
Sonication of removed implants improves microbiological diagnosis of postoperative spinal infections.

Eur Spine J. 2019-1-17

[9]
Management of late-onset deep surgical site infection after instrumented spinal surgery.

BMC Surg. 2018-12-22

[10]
Intrawound vancomycin in primary hip and knee arthroplasty: a safe and cost-effective means to decrease early periprosthetic joint infection.

Arthroplast Today. 2018-9-18

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