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骨折相关感染管理的多学科方法和宿主优化。

Multidisciplinary approach and host optimization for fracture-related infection management.

机构信息

Department of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong SAR, China.

Department of Trauma Surgery, University Hospital Regensburg, Germany.

出版信息

Injury. 2024 Nov;55 Suppl 6:111899. doi: 10.1016/j.injury.2024.111899.

Abstract

In orthopaedic trauma, fracture-related infections (FRI) are still dreadful challenges that can cause non-union, amputation and even death. Standardization of general treatment strategies for FRI is still lacking. Due to the complexity of FRI, a multidisciplinary approach addressing host status, state of the fracture and causative microorganism has been applied in the management of FRI. Surgical treatment, antibiotic therapy and host optimization for FRI were summarized and discussed. The goal of this review is to provide an overview and summary of current approaches of FRI management and to make suggestions on FRI prevention and treatment based on multidisciplinary principles.

摘要

在骨科创伤中,与骨折相关的感染(FRI)仍然是可怕的挑战,可导致骨折不愈合、截肢,甚至死亡。目前仍然缺乏 FRI 一般治疗策略的标准化。由于 FRI 的复杂性,已经采用了多学科方法来解决宿主状态、骨折状态和病原体微生物,以管理 FRI。本文总结并讨论了 FRI 的手术治疗、抗生素治疗和宿主优化。本文的目的是提供 FRI 管理的当前方法的概述和总结,并基于多学科原则对 FRI 的预防和治疗提出建议。

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