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执行摘要:由GEIO(西班牙医学科学与技术学会)、西班牙儿科传染病学会和西班牙矫形外科学与创伤学会制定的成人及儿童脓毒性关节炎诊断和治疗指南。

Executive summary: Guidelines for the diagnosis and treatment of septic arthritis in adults and children, developed by the GEIO (SEIMC), SEIP and SECOT.

作者信息

Benito Natividad, Martínez-Pastor Juan Carlos, Lora-Tamayo Jaime, Ariza Javier, Baeza José, Belzunegui-Otano Joaquín, Cobo Javier, Del-Toro María-Dolores, Fontecha Cesar G, Font-Vizcarra Lluís, Horcajada Juan P, Morata Laura, Murillo Oscar, Nolla Joan M, Núñez-Cuadros Esmeralda, Pigrau Carlos, Portillo María Eugenia, Rodríguez-Pardo Dolors, Sobrino-Díaz Beatriz, Saavedra-Lozano Jesús

机构信息

Unidad de Enfermedades Infecciosas - Hospital de la Santa Creu i Sant Pau, Institut d'Investigació Biomèdica Sant Pau (IIB), Universitat Autònoma de Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC-CIBER de Enfermedades Infecciosas), ISCIII, Madrid, Spain; The University of Queensland, UQ Centre for Clinical Research, Australia.

Servicio de Cirugía Ortopédica y Traumatología - Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.

出版信息

Enferm Infecc Microbiol Clin (Engl Ed). 2024 Apr;42(4):208-214. doi: 10.1016/j.eimce.2023.07.007. Epub 2023 Oct 31.

DOI:10.1016/j.eimce.2023.07.007
PMID:37919201
Abstract

Infection of a native joint, commonly referred to as septic arthritis, is a medical emergency because of the risk of joint destruction and subsequent sequelae. Its diagnosis requires a high level of suspicion. These guidelines for the diagnosis and treatment of septic arthritis in children and adults are intended for use by any physician caring for patients with suspected or confirmed septic arthritis. They have been developed by a multidisciplinary panel with representatives from the Bone and Joint Infections Study Group (GEIO) belonging to the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), the Spanish Society of Paediatric Infections (SEIP) and the Spanish Society of Orthopaedic Surgery and Traumatology (SECOT), and two rheumatologists. The recommendations are based on evidence derived from a systematic literature review and, failing that, on the opinion of the experts who prepared these guidelines. A detailed description of the background, methods, summary of evidence, the rationale supporting each recommendation, and gaps in knowledge can be found online in the complete document.

摘要

原发性关节感染,通常称为化脓性关节炎,由于存在关节破坏及后续后遗症的风险,属于医疗急症。其诊断需要高度怀疑。这些儿童和成人化脓性关节炎的诊断和治疗指南供任何诊治疑似或确诊化脓性关节炎患者的医生使用。它们由一个多学科小组制定,小组成员包括来自西班牙传染病和临床微生物学会(SEIMC)的骨与关节感染研究组(GEIO)、西班牙儿科感染学会(SEIP)、西班牙骨外科和创伤学会(SECOT)的代表以及两名风湿病学家。这些建议基于系统文献综述得出的证据,若缺乏相关证据,则基于编写这些指南的专家意见。有关背景、方法、证据总结、支持每项建议的基本原理以及知识空白的详细描述可在完整文档的在线版本中找到。

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