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人工关节周围感染可能会导致发现术中污染的一个被忽视的源头。

Periprosthetic Joint Infection With May Lead to the Identification of a Neglected Source of Intraoperative Contamination.

作者信息

Kuttner Hannes, Pfister Stefan, Moriarty T Fintan, Meier Christoph, Wahl Peter

机构信息

Division of Orthopaedics and Traumatology, Cantonal Hospital Winterthur, Winterthur, Switzerland.

Laboratory of Microbiology, HFR Fribourg - Cantonal Hospital, Fribourg, Switzerland.

出版信息

Arthroplast Today. 2022 Nov 14;18:181-184. doi: 10.1016/j.artd.2022.08.023. eCollection 2022 Dec.

DOI:10.1016/j.artd.2022.08.023
PMID:36405864
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9672404/
Abstract

Periprosthetic joint infection remains a major complication in arthroplasty. We present the first description of a case of periprosthetic joint infection with , microorganism that is mostly found on the skin of the upper body and might cause particular challenges as it is difficult to culture and specify. Furthermore, a thorough microbiologic workup may indicate the source of infection. In this case, it is possible that perspiration from the surgeon was the source of intraoperative contamination. Intraoperative contamination through perspiration may be important and should be avoided by all means.

摘要

人工关节周围感染仍然是关节置换术中的主要并发症。我们首次描述了一例人工关节周围感染病例,感染的微生物主要存在于上半身皮肤,因其难以培养和鉴定,可能会带来特殊挑战。此外,全面的微生物学检查可能会揭示感染源。在本病例中,外科医生的汗液有可能是术中污染的来源。通过汗液造成的术中污染可能很重要,应想尽办法避免。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e7d/9672404/489dee386add/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e7d/9672404/d772d8b38323/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e7d/9672404/489dee386add/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e7d/9672404/d772d8b38323/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e7d/9672404/489dee386add/gr2.jpg

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Bone Joint J. 2020 Jul;102-B(7_Supple_B):11-19. doi: 10.1302/0301-620X.102B7.BJJ-2019-1628.R1.
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Two-stage revision surgery for periprosthetic joint infection following total hip arthroplasty.全髋关节置换术后假体周围关节感染的两阶段翻修手术。
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Salvage procedure for chronic periprosthetic knee infection: the application of DAIR results in better remission rates and infection-free survivorship when used with topical degradable calcium-based antibiotics.
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