在细菌病期间发生骨科植入物感染的风险
1Department of Internal Medicine, Tampere University Hospital, Tampere, Finland.
概括
骨科植入物可以从遥远的来源感染. 黄金葡萄球菌细菌症对周围假肢关节感染构成重大风险,但对其他植入物的数据仍然有限.
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
背景情况:
- 整形外科植入物易于在植入后从远处传播出血源感染.
- 关于血液源性骨科植入物感染的先前研究主要集中在假肢关节上.
- 常见的感染源包括皮肤,软组织,心血管和牙科感染.
研究的目的:
- 审查血源性骨科植入物感染的来源和风险.
- 根据病原体类型,评估在细菌病期间发生周围假肢关节感染 (PJI) 的风险.
- 要突出关于脊柱植入物感染和无症状病例的有限数据.
主要方法:
- 对通过血液传播的骨科植入物感染研究的文献综述.
- 分析细菌血症期间发生周围假肢关节感染 (PJI) 的病原体特异性风险.
- 对四肢和脊柱植入物感染风险的现有数据的评估.
主要成果:
- 在细菌病期间PJI的风险取决于病原体,黄金葡萄球菌和β-血液溶解性链球菌的风险最高.
- 金色葡萄球菌细菌病 (SAB) 携带12-41%的PJI风险.
- 对四肢植入物SAB风险的数据有限,但可能与假肢关节相似;脊柱植入物感染风险未知.
结论:
- 在SAB期间的症状性骨科植入物通常需要进一步调查.
- 无症状的植入物通常不需要像突液吸收一样的诊断工作.
- 需要进一步的研究来了解脊柱植入物和非假肢骨科植入物中的感染风险.
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