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大人的细菌性败血性关节炎
Catherine J Mathews1, Vivienne C Weston, Adrian Jones
1Queen Elizabeth Hospital, South London Healthcare Trust, London, UK.
Lancet (London, England)
|March 9, 2010
概括
败血性关节炎是一种严重的关节感染,由于抗生素耐药性,它变得越来越常见,并且难以治疗. 早期诊断和干预对于管理这种医疗紧急情况至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 类风湿病学 类风湿病学
- 微生物学 微生物学
背景情况:
- 败血性关节炎是一种严重的医疗紧急情况,具有显著的发病率和死亡率.
- 成年人感染性关节炎的流行病学正在演变,以增加发病率和抗生素耐药性为标志.
研究的目的:
- 审查成人本地关节的败血性关节炎流行病学的变化.
- 讨论性关节炎的风险因素,病原和诊断和管理策略.
主要方法:
- 文献综述包括流行病学,风险因素,病原,诊断和管理.
- 检查宿主因素和细菌毒性决定因素在病变发生.
- 对临床诊断,调查和干预策略的分析.
主要成果:
- 败血性关节炎的发病率正在上升,随着抗生素耐药性模式的演变.
- 宿主因素 (例如TNF-alpha,IL-1,IL-10) 和细菌因素影响病原发生.
- 及时的医疗和手术干预,包括关节吸血和适当的抗生素,至关重要.
结论:
- 由于新型病原体和抗生素耐药性,感染性关节炎的治疗越来越复杂.
- 对动物模型和患者数据的研究正在阐明病原和潜在的辅助疗法.
- 新型治疗方法,如皮质类固醇,细胞因子调节剂和双酸盐,显示出有希望的结果.
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