与没有牙的患者相比,有牙的患者患上周围假肢关节感染的发病率更高
Joseph D Brenner1, Marina Atallah1, David Yatsonsky2
1College of Medicine and Life Sciences, The University of Toledo, Toledo, USA.
Cureus
|August 2, 2024
概括
拥有天然牙增加了由于细菌进入血液的晚期假肢关节感染 (PJIs) 的风险. 没有牙的患者在关节置换手术后患上这些感染的风险较低.
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
- 微生物学 微生物学
背景情况:
- 口腔菌群中的细菌可以导致假肢关节的血源性播种.
- 晚期假肢关节感染 (PJIs) 通常与来自口腔的细菌有关.
- 牙状况在PJI风险中的作用是正在进行的调查领域.
研究的目的:
- 调查天然牙存在与PJI发生率之间的关联.
- 为了比较全关节关节整形术后有牙和没有牙的患者的感染率.
- 确定晚发PJI的潜在风险因素.
主要方法:
- 以后回顾1500名接受初级全关节整形手术的患者病历.
- 在手术时分析牙状况 (牙的存在与没有牙).
- 使用多变量线性回归的PJI率,感染时间,致病生物和并发症的统计比较.
主要成果:
- 与没有牙的患者 (0.78%) 相比,有牙的患者感染率更高 (2.14%).
- 在有牙的患者中,晚期PJIs (手术后≥6个月) 的发病率较高.
- 在许多PJI中,常见的口腔细菌被确定为致病原体.
结论:
- 自然牙的存在与晚期假肢关节感染的风险增加有关.
- 口腔细菌是晚期PJI的重要来源.
- 牙炎可能是防止晚期PJI的保护因素.
相关概念视频
Teeth
369
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
369
Tooth Anatomy
410
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
410
Factors Affecting the Risk of Infection
11.5K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.5K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.1K
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.
4.1K
Assessment of the Mouth
154
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
154
Oral Cavity
557
The oral cavity, or the mouth, is a complex structure in humans that plays a vital role in our day-to-day lives. Its role is not only in chewing and swallowing food; it also plays a role in speech and facial expressions.
Teeth: The teeth are the hardest structures in our bodies. Humans have two sets of teeth throughout their lifetime: deciduous (baby) teeth and permanent teeth. Each tooth consists of several parts: the crown (visible part), the root (embedded in the jaw), enamel (hard outer...
Teeth: The teeth are the hardest structures in our bodies. Humans have two sets of teeth throughout their lifetime: deciduous (baby) teeth and permanent teeth. Each tooth consists of several parts: the crown (visible part), the root (embedded in the jaw), enamel (hard outer...
557


