由于Candida物种造成的假肢关节感染:一个多中心国际研究
Aurélien Dinh1, Martin McNally2, Emma D'Anglejan1
1Infectious Disease Department, Raymond-Poincaré University Hospital, Paris Saclay University, Assistance Publique-Hôpitaux de Paris, Garches, France.
概括
坎迪达假肢关节感染 (PJI) 的预后很差,失败率很高. 治疗的成功与免疫抑制或抗真菌的持续时间无关,但是手术方法会影响结果.
科学领域:
- 传染性疾病 传染性疾病
- 整形外科手术 整形外科手术
- 菌类学 菌类学是指菌类学.
背景情况:
- 由Candida物种引起的假肢关节感染 (PJI) 是关节整形术后的一种严重并发症.
- 调查Candida PJI的结果对于改善患者管理至关重要.
研究的目的:
- 分析诊断出与Candida相关的PJI的患者的治疗结果.
- 为了确定与Candida PJI治疗成功或失败相关的因素.
主要方法:
- 从2010年至2021年对患有Candida PJI的患者进行了回顾性,多国观察性研究.
- 在2年后期对治疗结果的评估.
- 分析患者人口统计,感染部位,手术程序,致病性Candida物种和抗真菌治疗.
主要成果:
- 总共有269名患者被分析;58.0%的人实现了治愈.
- 治疗失败与年龄>70岁和除菌,抗生素和植入物保留 (DAIR) 程序相关.
- 坎迪达帕拉西洛斯感染显示出更好的结果,而与1阶段和2阶段交换相比,DAIR的治愈率较低.
结论:
- 坎迪达PJI的预后一般不好,失败率很高.
- 诸如年龄和手术策略等因素显著影响治疗结果.
- 免疫抑制,醇的使用和治疗时间似乎与失败无关.
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