是否有足够的证据支持在感染性全髋关节或膝关节置换翻修手术的第二阶段之前使用抗生素假期？
Is there sufficient evidence to support the use of antibiotic holiday just before the second stage of an infected total hip or knee arthroplasty revision surgery?
作者信息
Tsikopoulos Konstantinos, Sidiropoulos Konstantinos
机构信息
Department of Orthopaedics, Portsmouth Hospitals NHS University Trust, Portsmouth University Hospitals, Portsmouth PO6 3LY, United Kingdom.
Emergency Department, Papageorgiou General Hospital of Thessaloniki, Thessaloniki 54635, Greece.
出版信息
World J Orthop. 2024 May 18;15(5):483-485. doi: 10.5312/wjo.v15.i5.483.
Abstract
The practice of implementing an antibiotic holiday before the second stage of hip or knee arthroplasty is currently controversial due to limited evidence for this approach, as per the International Consensus Meeting 2018 on Musculoskeletal Infection. A greater understanding of this issue could augment the quality of Alrayes and Sukeik's mini-review (2023) on diagnosing, managing, and treating periprosthetic knee infections. However, a significant lack of literature exists concerning the optimal duration for the antibiotic holiday, calling for more research before establishing any clinical guidelines.
摘要
根据2018年国际肌肉骨骼感染共识会议，在髋关节或膝关节置换术第二阶段之前实施抗生素假期的做法目前存在争议，因为这种方法的证据有限。对这个问题有更深入的了解可以提高阿尔拉耶斯和苏凯克（2023年）关于诊断、管理和治疗人工膝关节周围感染的小型综述的质量。然而，关于抗生素假期的最佳持续时间，目前存在大量文献空白，在制定任何临床指南之前需要更多的研究。
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