周围假肢关节感染
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
概括
周围假肢关节感染是关节置换手术后的一个严重并发症,增加了修复率. 加强预防,诊断和治疗对于更好的患者结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 传染病 传染病 传染病
背景情况:
- 周围假肢关节感染 (PJIs) 是关节整形术后的一个重大并发症,导致患者患病率很高.
- PJI占修复手术的25%以上,由于肥胖和糖尿病等伴随疾病的增加,其发病率越来越高.
研究的目的:
- 审查PJIs的风险因素,预防策略,诊断方法,临床特征和治疗选择.
- 以国际共识会议为基础,突出最佳实践和确定研究需求.
主要方法:
- 关于周围假肢关节感染的当前文献的全面综述.
- 分析风险因素,预防 (手术前,手术内,手术后),诊断和治疗策略.
- 纳入了关于PJI的国际共识会议的调查结果.
主要成果:
- 正在实施加强的预防措施 (例如,血糖控制,皮肤消毒,超清洁环境).
- 指出了手术管理和术后护理 (例如,抗凝血剂,伤口带) 的精细说明.
- 国际共识确定了最佳实践和未来研究领域.
结论:
- 周围假肢关节感染在关节整形术中构成越来越大的挑战,需要改进管理策略.
- 骨科护理可以从PJI的预防,诊断和治疗方法的进步中显著受益.
- 进一步的研究和遵守最佳实践对于有效打击PJI至关重要.
相关概念视频
Endocarditis I: Introduction
783
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
783
Endocarditis IV: Nursing Management
586
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
586
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
6.7K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
6.7K
Acute Pyelonephritis I: Introduction
1.2K
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
1.2K
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
1.7K
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
1.7K
Endocarditis II: Clinical Features of Infective Endocarditis
817
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
817


