Division of Infectious Diseases, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Department of Orthopedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Clin Infect Dis. 2023 Oct 5;77(7):939-940. doi: 10.1093/cid/ciad457.
Over the last several decades, periprosthetic joint infection (PJI) has been increasing in incidence and is occurring in more complex patients. While there have been advances in both surgical and medical treatment strategies, there remain important gaps in our understanding. Here, we share our current approaches to the diagnosis and management of PJI, focusing on frequent clinical challenges and collaborative interdisciplinary care. The more detailed review including diagnosis, surgical considerations, and a detailed antimicrobial discussion is presented in the online version.
在过去的几十年中,人工关节周围感染(PJI)的发病率一直在上升,并且发生在更为复杂的患者中。尽管在手术和治疗策略方面都取得了进展,但我们的理解仍存在重要的差距。在这里,我们分享了我们目前对 PJI 的诊断和治疗方法,重点是常见的临床挑战和协作的跨学科护理。更详细的综述,包括诊断、手术考虑因素和详细的抗菌药物讨论,见在线版本。