关于骨科感染的国际共识会议:ICM 2018和ICM 2025之间的差异
Augusto Ferrini1, Mincong He2, Martí Bernaus3
1Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy; Department of International Joint Center, Acibadem Mehmet Ali Aydınlar University, Istanbul, Turkey.
The Journal of arthroplasty
|November 5, 2025
概括
2025年国际共识会议 (ICM) 更新了周围假肢关节感染 (PJI) 准则,反映了新的证据,并为关节更换后的PJI管理提供了更明确的临床方向. 这种演变增强了患者护理和研究优先事项.
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
- 基于证据的医学基于证据的医学.
背景情况:
- 周围假肢关节感染 (PJI) 是整体关节整形术的严重并发症.
- 国际共识会议 (ICM) 为PJI提供了基于证据的全球性建议.
- 本研究分析了2018年至2025年ICM PJI指南之间的变化.
研究的目的:
- 为了比较2018年和2025年ICM之间的PJI管理建议.
- 评估不断变化的证据对PJI临床指导的影响.
- 确定PJI预防,诊断和治疗策略的关键变化.
主要方法:
- 在两版ICM中对172个PJI相关问题的比较分析.
- 主题领域包括一般的PJI,生物膜,部,膝盖,肩膀和脊柱.
- 评估重点是建议的转变和支持证据的强度.
主要成果:
- 对37个问题 (21.5%) 发现了建议的重大变化.
- 新的指导方针解决了膝关节透镜后修复风险的增加,急性PJI中DAIR的12周抗生素疗程,以及重复DAIR程序.
- 2025年ICM具有更多的指令语言和明确的证据分级.
结论:
- 高质量的证据生成显著改变了PJI的共识建议.
- ICM在标准化全球PJI管理和指导未来研究方面发挥着至关重要的作用.
- 更新的指南为医疗保健专业人员提供了更明确的临床指导.
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