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抗生素时代脓毒性关节炎综述。

Review of septic arthritis throughout the antibiotic era.

作者信息

Newman J H

出版信息

Ann Rheum Dis. 1976 Jun;35(3):198-205. doi: 10.1136/ard.35.3.198.

DOI:10.1136/ard.35.3.198
PMID:984899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1006541/
Abstract

134 patients with septic arthritis who have been treated at the Nuffield Orthopaedic Centre during a 30-year period have been reviewed. There has been little change in the overall incidence during the last 20 years, but recently the disease has become more common among the elderly and patients tend to be less ill on presentation. The problems and necessity of rapidly establishing a diagnosis are stressed. Overall, 70% attained a good result though infection in infants' hips and all joints in the elderly carried a poor prognosis. Once a good result was achieved the joint did not deteriorate with the passage of time.

摘要

对30年间在纳菲尔德骨科中心接受治疗的134例化脓性关节炎患者进行了回顾性研究。在过去20年中,总体发病率几乎没有变化,但最近该病在老年人中变得更为常见,且患者就诊时病情往往较轻。强调了快速确立诊断的问题和必要性。总体而言,70%的患者取得了良好的结果,不过婴儿髋关节感染以及老年人的所有关节感染预后较差。一旦取得良好结果,关节不会随着时间推移而恶化。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0db6/1006541/0c109df1326e/annrheumd00034-0017-a.jpg

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本文引用的文献

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The diagnosis and therapy of acute suppurative arthritis.急性化脓性关节炎的诊断与治疗
Arthritis Rheum. 1960 Dec;3:522-35. doi: 10.1002/art.1780030606.
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Acute suppurative arthritis.急性化脓性关节炎
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Suppurative arthritis. Clinical features of 42 cases.化脓性关节炎。42例临床特征。
公鸡攻击后膝关节感染性关节炎:一例报告
J Med Case Rep. 2025 Jul 16;19(1):350. doi: 10.1186/s13256-025-05215-0.
4
Septic Arthritis of the Elbow: A 10-Year Retrospective Clinical and Microbiological Review From a Single Center.肘关节化脓性关节炎:来自单一中心的10年回顾性临床与微生物学研究
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Risk factors for readmission and mortality after irrigation & debridement for septic arthritis in persons who inject drugs.注射吸毒者化脓性关节炎清创冲洗术后再入院及死亡的危险因素。
J Orthop. 2025 Mar 24;62:156-159. doi: 10.1016/j.jor.2025.03.047. eCollection 2025 Apr.
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Case Report: Rheumatoid arthritis patient with hip joint infection and acetabular protrusion undergoing total hip arthroplasty: a case study and literature review.病例报告:类风湿性关节炎患者合并髋关节感染及髋臼突出行全髋关节置换术:病例研究与文献综述
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Injection drug use is associated with repeat irrigation and debridement in native joint septic arthritis.注射吸毒与原发性关节化脓性关节炎的反复冲洗和清创有关。
J Orthop. 2024 Nov 12;64:18-22. doi: 10.1016/j.jor.2024.11.006. eCollection 2025 Jun.
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Increased Incidence and Clinical Features of Septic Arthritis in Patients Aged 80 Years and above: A Comparative Analysis with Younger Cohorts.80岁及以上患者脓毒性关节炎的发病率增加及临床特征:与年轻队列的比较分析
Pathogens. 2024 Oct 11;13(10):891. doi: 10.3390/pathogens13100891.
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Bone Jt Open. 2024 Sep 19;5(9):785-792. doi: 10.1302/2633-1462.59.BJO-2024-0048.R1.
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Tryptophanyl tRNA synthetase is an alternative synovial biomarker for diagnosis of septic arthritis in knee joint.色氨酰-tRNA合成酶是诊断膝关节化脓性关节炎的一种替代性滑膜生物标志物。
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Antibacterial activity of synovial fluid during therapy of septic arthritis.化脓性关节炎治疗期间滑液的抗菌活性。
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