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Jennifer A Kipp¹, Lindsay K LeSavage², Greg Russell³

¹Wake Forest University School of Medicine, Podiatric Medicine and Surgery Resident - Department of Orthopaedic Surgery and Rehabilitation, Atrium Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

|September 15, 2025

概括

骨抽样培养物对于诊断骨髓炎比骨组织培养物更为敏感. 外科医生可能会考虑使用这两种方法在骨感染病例中进行最佳的微生物学分析.

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
医学微生物学医学微生物学

背景情况:

诊断骨髓炎的黄金标准是骨活检.
根据IDSA 2023指导方针,建议使用骨培养来进行微生物学分析.
最佳的手术内骨样本采集方法仍在争论中.

研究的目的:

为了回顾性地比较手术内骨抽样培养与骨组织培养.
评估两种不同的骨培养技术的诊断产量.

主要方法:

对103名怀疑患有下肢骨质炎的患者进行的126次手术的回顾性审查.
在手术期间,从同一部位从脱bridement或截肢后采集骨拭子和骨组织培养物.
对所有收集的骨样本进行微生物学分析.

主要成果:

与骨组织培养 (32%) 相比,骨抽样培养显示出更高的阳性结果 (40.5%),p=0.027.
在80%的案例中,观察到方法之间完全一致.
差异有利于骨头抽样培养的积极结果 (p=0.028).

结论:

骨抽样培养物在检测骨髓炎病原体方面表现出优越的灵敏度.
考虑使用骨头拭子和组织培养,可以提高诊断的准确性.
研究结果支持优化微生物采样在骨髓炎管理.

关键词:

骨组织活检骨组织活检骨培养骨培养骨培养感染感染感染骨髓炎是一种骨质炎.

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