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Infections and prosthetic devices.

B Sugarman

    The American Journal of Medicine
    |July 28, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Prosthetic device infections are common and can be difficult to diagnose, often requiring specific tests. While treatment is usually successful, device removal may be necessary for effective prosthetic infection management.

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    Area of Science:

    • Medical Microbiology
    • Infectious Diseases
    • Biomedical Engineering

    Background:

    • Hundreds of thousands of prosthetic devices are implanted annually in the U.S.
    • Infection rates vary but affect several percent of these devices.
    • Diagnosing prosthetic infections is challenging due to confounding factors like underlying disease and the prosthesis itself.

    Purpose of the Study:

    • To review the complexities in diagnosing prosthetic device infections.
    • To highlight challenges in identifying causative organisms, such as skin flora contamination.
    • To discuss current and emerging strategies for prevention, diagnosis, and treatment.

    Main Methods:

    • Review of recent laboratory and clinical studies on prosthetic device infections.
    • Analysis of diagnostic challenges and causative pathogens.

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  • Evaluation of treatment outcomes, including device removal necessity.

    • Main Results:

    • Diagnosis is often complicated, requiring specific tests beyond routine studies.
    • Distinguishing true infection from contamination (e.g., Staphylococcus epidermidis) is a common issue.
    • Treatment is generally successful, but device removal is frequently required.

    Conclusions:

    • Optimal prevention, diagnosis, and treatment strategies are evolving.
    • Understanding infection development and treatment response is key.
    • Further research will refine management protocols for prosthetic device infections.