Infected total joint arthroplasty

  • 文章类型: Journal Article
    假体周围感染(PJI)仍然是全关节置换术后最常见的并发症之一。管理具有挑战性,与显著的发病率和死亡率相关,是医疗系统的财政负担。慢性PJI的2阶段管理失败并不少见。重复感染通常是多微生物的,多重耐药微生物,或新的生物。优化索引2阶段修订的成功是防止任何后续管理选项失败的最大方法,需要一个强大的基于团队的方法。
    Periprosthetic joint infection (PJI) remains one of the most common complications after total joint arthroplasty. It is challenging to manage, associated with significant morbidity and mortality, and is a financial burden on the health care system. Failure of 2-stage management for chronic PJI is not uncommon. Repeat infections are oftentimes polymicrobial, multiple drug-resistant microorganisms, or new organisms. Optimizing the success of index 2-stage revision is the greatest prevention against failure of any subsequent management options and requires a robust team-based approach.
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