ペリプロステスの関節の感染症
Bhaveen H Kapadia1, Richard A Berg2, Jacqueline A Daley3
1Rubin Institute for Advanced Orthopedics, Center for Joint Preservation and Replacement, Sinai Hospital of Baltimore, Baltimore, MD, USA.
Lancet (London, England)
|July 3, 2015
まとめ
周 протез関節の感染症は,関節置換手術後の深刻な合併症であり,改修率が増加しています. 改善された予防,診断,治療は,より良い患者のアウトカムに不可欠です.
科学分野:
- 整形外科手術の整形外科手術について
- 感染症 感染症は感染症です.
背景:
- 周 протез関節感染症 (PJIs) は,関節整形手術後の重大な合併症であり,患者の実質的な罹病率につながります.
- PJIは,リビジョン手術の25%以上を占め,肥満や糖尿病などの併発性疾患の増加のために発生率が増加しています.
研究 の 目的:
- PJIの危険因子,予防戦略,診断方法,臨床的特徴,治療オプションをレビューする.
- 国際的なコンセンサス会議に基づいて,ベストプラクティスを強調し,研究ニーズを特定します.
主な方法:
- プロステスの周りの関節の感染症に関する現在の文献の包括的なレビュー.
- リスク要因の分析,予防 (術前,術後,術後),診断,治療戦略.
- PJIに関する国際コンセンサス会議の成果を組み込む.
主要な成果:
- 強化された予防措置 (例えば,血糖制御,皮膚の浄化,超清潔な環境) が実施されています.
- 手術管理と術後のケア (例えば,抗凝固薬,傷口包帯) のための洗練された指示が指摘されています.
- 国際的なコンセンサスにより,ベストプラクティスと将来の研究分野が特定されました.
結論:
- 周 протез関節の感染症は,関節整形手術においてますます大きな課題となり,改善された管理戦略が必要になります.
- 整形外科医療は,PJIの予防,診断,治療アプローチの進歩から大きく恩恵を受けることができます.
- PJIを効果的に撲滅するには,さらなる研究とベストプラクティスの遵守が不可欠です.
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