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髋膝关节人工关节感染的诊断——并非一概而论

Diagnosis of Prosthetic Joint Infection of Hips and Knees-One Size Does Not Fit All.

作者信息

Spichler-Moffarah Anne, Daddi Lauren, Nguyen Duc, Molloy Ilda, Golden Marjorie

机构信息

Division of Infectious Diseases, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.

Yale School of Medicine, New Haven, Connecticut, USA.

出版信息

Open Forum Infect Dis. 2025 Mar 28;12(4):ofaf195. doi: 10.1093/ofid/ofaf195. eCollection 2025 Apr.

Abstract

There is no consensus on diagnostic criteria for hip and knee periprosthetic joint infections (PJIs). This study evaluated Infectious Diseases Society of America (IDSA), International Consensus Meeting 2018 (ICM2018), and European Bone and Joint Society (EBJIS) criteria, finding IDSA most accurate for early PJI and knee infections, while ICM2018 and EBJIS were superior for delayed and late cases. Diagnostic approaches should consider infection timing and context.

摘要

对于髋膝关节假体周围关节感染(PJI)的诊断标准,目前尚无共识。本研究评估了美国传染病学会(IDSA)、2018年国际共识会议(ICM2018)和欧洲骨与关节协会(EBJIS)的标准,发现IDSA对早期PJI和膝关节感染最为准确,而ICM2018和EBJIS在延迟和晚期病例中表现更优。诊断方法应考虑感染时间和具体情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3f/12006793/5792e79b9fdd/ofaf195f1.jpg

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