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创新的假体周围关节感染中生物膜的分离和治疗:骨与关节感染管理中当前和新兴疗法的全面综述。

Innovations in the Isolation and Treatment of Biofilms in Periprosthetic Joint Infection: A Comprehensive Review of Current and Emerging Therapies in Bone and Joint Infection Management.

机构信息

NYU Langone Orthopedic Hospital, NYU Langone Health, 301 East 17th Street, Room 1402, New York, NY 10003, USA.

NYU Langone Orthopedic Hospital, NYU Langone Health, 301 East 17th Street, Room 1402, New York, NY 10003, USA.

出版信息

Orthop Clin North Am. 2024 Apr;55(2):171-180. doi: 10.1016/j.ocl.2023.10.002. Epub 2023 Nov 1.

Abstract

Periprosthetic joint infections (PJIs) are a devastating complication of joint arthroplasty surgeries that are often complicated by biofilm formation. The development of biofilms makes PJI treatment challenging as they create a barrier against antibiotics and host immune responses. This review article provides an overview of the current understanding of biofilm formation, factors that contribute to their production, and the most common organisms involved in this process. This article focuses on the identification of biofilms, as well as current methodologies and emerging therapies in the management of biofilms in PJI.

摘要

人工关节周围感染(PJI)是关节置换手术后一种破坏性的并发症,常伴有生物膜的形成。生物膜的形成使 PJI 的治疗变得具有挑战性,因为它们形成了对抗生素和宿主免疫反应的屏障。本文综述了生物膜形成的最新认识,包括促成其形成的因素以及参与这一过程的最常见的生物体。本文重点介绍了生物膜的鉴定,以及目前在 PJI 中管理生物膜的方法和新兴疗法。

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