门诊手术中心的水污染导致严重的福氏分枝杆菌假关节感染：病例系列

IF 1.5 Q3 ORTHOPEDICS

Arthroplasty Today Pub Date : 2024-10-12 DOI:10.1016/j.artd.2024.101520

Reece Vesperman MD , J. Ryan Martin MD , Logan Locascio BS , Christina T. Fiske MD, MPH , Jessica Rice MSN, FNP-C , Stephen Engstrom MD, MBA

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引用次数: 0

摘要

全关节置换术后的人工关节感染（PJI）是一种相对罕见但却具有破坏性的并发症。迄今为止，还没有文献报道过与供水污染有关的拟杆菌 PJI 病例。我们的报告详细介绍了一家门诊手术中心的 5 例因供水污染而导致的拟杆菌 PJI 患者。这些患者是通过转诊到我们的学术中心而发现的。所有患者在转诊前都至少接受过一次翻修手术，需要长期使用广谱抗生素。所有患者都有广泛的伤口并发症，5 名患者中有 4 名至少接受了两阶段翻修手术中的第一阶段。所有患者都需要进一步手术，但长期结果仍相对不确定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Water Contamination at an Ambulatory Surgical Center Leads to Severe Mycobacterium Fortuitum Prosthetic Joint Infections: A Case Series

Prosthetic joint infections (PJIs) following total joint arthroplasties are relatively rare but devastating complications. To date, no cases of Mycobacterium fortuitum PJIs associated with contaminated water supplies have been reported in the literature. Our report details 5 patients with Mycobacterium fortuitum PJIs related to a contaminated water supply at an ambulatory surgical center. These patients were identified by referral to our academic center. All underwent at least 1 revision surgery prior to referral and required prolonged broad-spectrum antibiotics. All had extensive wound complications, and 4 of 5 patients have received at least stage 1 of a 2-stage revision. All will require further surgery, but long-term outcomes remain relatively uncertain.

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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.