针部位感染的实际定义
Florian A Frank1, David Stubbs2, Jamie Y Ferguson2
1Bone Infection Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals, Oxford, United Kingdom of Great Britain and Northern Ireland, UK; Musculoskeletal Infections Center (ZMSI), University Hospital Basel, Basel, Switzerland.
Injury
|December 20, 2023
概括
针部位感染 (PSI) 缺乏明确的定义,阻碍了研究和治疗开发. 本文提出了标准化PSI定义的基本原则,以改善临床研究和未来的研究.
科学领域:
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
- 生物医学工程 生物医学工程
背景情况:
- 针部位感染 (PSI) 是与外部固定相关的最常见并发症.
- 目前关于PSI的文献存在不一致的定义,导致发生率差异很大 (1-100%) 和研究比较的困难.
- 现有的对假肢关节感染 (PJI) 和骨折相关感染 (FRI) 的验证定义强调了对PSI需要类似的标准化方法.
研究的目的:
- 提出一个标准化定义Pin网站感染 (PSI) 的核心原则.
- 建立关于PSI的临床研究和出版的共同基础.
- 为了解决现有的PSI文献中缺乏明确定义所造成的局限性.
主要方法:
- 审查关于PSI,PJI和FRI的现有文献.
- 分析导致PSI的因素,包括患者相关,外科和设备相关的因素.
- 基于与PJI和FRI的相似性和区别的定义原则的建议.
主要成果:
- 缺少PSI的标准化定义使研究和基于证据的实践变得复杂.
- PSI与PJI和FRI有相似之处,但具有独特的特点,例如开放的皮肤和临时设备放置.
- 影响PSI的关键因素包括患者变量,手术技术,针骨/皮肤接口以及外部固定装置属性.
结论:
- 对PSI的普遍接受的定义对于推进研究和临床实践至关重要.
- 拟议的原则旨在促进一致的诊断标准,并提高PSI研究的质量.
- 标准化PSI定义将使基于证据的算法能够用于预防,诊断和治疗.
关键词:
临床症状 临床症状 临床症状定义 定义 定义诊断 诊断 诊断 诊断 诊断诊断标准 诊断标准 诊断标准外部固定方式 外部固定方式与骨折相关的感染.图像成像是一种成像.微生物学 微生物学针部位感染感染更多相关视频
相关概念视频
01:20Infection
8.0K
When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
8.0K
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:26Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
165
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
165
01:28Asepsis
2.1K
The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
2.1K
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.2K
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.
4.2K