在患有人工关节置换和人工心脏门的患者中进行生殖泌尿程序的抗生素预防
Briana Goddard1, Daniel Stein1
1Department of Urology, George Washington University Hospital, 2150 Pennsylvania Avenue Northwest Suite 3-417, Washington, DC 20037, USA.
The Urologic clinics of North America
|September 30, 2024
概括
假肢关节的患者可能需要在生殖尿道手术前服用抗生素,特别是在手术后两年内. 假内心炎的预防通常不需要抗生素预防.
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
- 心血管外科心血管外科
背景情况:
- 假肢关节感染 (PJI) 和假肢内心炎 (PVE) 是罕见但严重的并发症.
- 指导方针建议在接受生殖尿道手术的某些带假肢关节的患者中进行抗生素预防.
研究的目的:
- 为了澄清对进行生殖尿道手术的假肢设备患者的抗生素预防建议.
- 突出防止PJI和PVE的关键考虑因素.
主要方法:
- 审查当前的最佳实践声明和指导方针.
- 分析与PJI和PVE相关的病原体.
- 考虑感染和细菌病的危险因素.
主要成果:
- 对假肢关节的抗生素预防建议在关节整形术后2年内,对于高风险患者或高风险手术.
- 通常不建议对假进行抗生素预防,仅用于预防内心炎.
- 肠球菌种类经常与PJI和PVE有关.
结论:
- 对于假肢关节患者的抗生素预防决定需要仔细评估风险.
- 假肢门的预防策略与假肢关节的预防策略有很大的不同.
- 当地抗生素耐药性模式对于有效的治疗选择至关重要.
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