早期周围假肢关节感染的发生率和危险因素
Zeynep Tekin-Taş1, Hasan Selçuk Özger1, Ulunay Kanatlı2
1Department of Infectious Disease and Clinical Microbiology, Gazi University School of Medicine, Ankara, Türkiye.
Infectious diseases & clinical microbiology
|July 15, 2024
概括
这项研究发现,关节和膝关节关节整形术患者的早期周围假肢关节感染 (PJI) 发病率为2.88%. 关键的风险因素包括并发性疾病和高的国家鼻感染监测系统 (NNIS) 评分.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 周围假肢关节感染 (PJI) 是关节整形术后的重大并发症,增加了患者的发病率和医疗费用.
- 有效的监测和风险因素的识别对于管理PJI发病率和实施感染控制策略至关重要.
研究的目的:
- 为了确定部和膝盖关节整形术后PJI的早期发病率.
- 确定与PJI发展相关的关键风险因素.
主要方法:
- 从2018年6月到2019年6月进行了一项单心,前性描述性研究.
- 收集的数据包括590名关节塑形术患者的患者人口统计,临床发现,实验室结果和手术因素.
- 在90天后,患者被分为PJI和非PJI组进行风险因素比较.
主要成果:
- 整体早期PJI发病率为2.88% (17/590),部 (4.86%) 和膝盖 (1.9%) 关节整形术后的发病率更高.
- 确定PJI的风险因素包括并发性疾病 (aOR=3.35),手术前停留时间 (aOR=0.89),红细胞悬浮置换 (aOR=1.96),以及NNIS得分≥1 (aOR=3.10).
结论:
- 这项研究报告了较高的早期PJI发病率与现有文献相比,可能是由于监测限制.
- 医学并发症和高NNIS分数是显著的风险因素,强调需要积极监测风险患者.
- 未来的积极监测对于及时识别和管理关节形成术患者的PJI至关重要.
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