感染性骨折：我们能就标准定义达成共识吗？
The infected fracture: can we agree on standard definitions?
作者信息
Hak David J
机构信息
Hughston Orthopedic Trauma Surgeons, Central Florida Regional Hospital, Sanford, FL. University of Central Florida, Orlando, FL.
出版信息
OTA Int. 2020 Mar 23;3(1):e057. doi: 10.1097/OI9.0000000000000057. eCollection 2020 Mar.
A precise definition of infection after fracture fixation is essential for the evaluation of published research data and for the future establishment of uniform treatment concepts. Recently, a multidisciplinary expert panel has developed a consensus definition that includes 4 confirmatory criteria for infection following fracture fixation. These criteria are: Fistula, sinus, or wound breakdown; purulent drainage or deep purulence at surgery; positive cultures from at least 2 separate deep tissue/implant specimens taken during an operative intervention; and microorganisms in deep tissue specimens confirmed by histopathological staining. The consensus panel also identified 6 categories of suggestive criteria which are features associated with infection that requires further investigation.
骨折内固定术后感染的精确定义对于评估已发表的研究数据以及未来建立统一的治疗理念至关重要。最近，一个多学科专家小组制定了一项共识定义，其中包括骨折内固定术后感染的4项确诊标准。这些标准是：瘘管、窦道或伤口裂开；手术时出现脓性引流或深部化脓；在手术干预期间从至少2个不同的深部组织/植入物标本中培养出阳性结果；以及通过组织病理学染色确认深部组织标本中有微生物。共识小组还确定了6类提示性标准，这些是与感染相关的特征，需要进一步调查。
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