预防骨科感染。

IF 6.1 3区 医学 Q1 IMMUNOLOGY
Alaina S Ritter, Simon Mears
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引用次数: 0

摘要

骨科感染的预防对于改善患者预后和降低医疗成本至关重要。术前可采取预防策略,包括减轻医疗风险因素、耐甲氧西林金黄色葡萄球菌去菌落、适当的皮肤准备和优化围手术期抗菌素预防;术中,包括使用冲洗,局部抗生素,感染控制措施,及时清创/最佳手术技术;术后,包括初次关节置换术和再植入术后抗生素使用时间的考虑。本文提供了对这些策略的基于证据的讨论,同时也强调了正在进行的研究可能有益的领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Preventing Orthopedic Infections.

The prevention of orthopedic infections is of critical importance to improve patient outcomes and reduce health care costs. Preventative strategies can be employed preoperatively, including mitigation of medical risk factors, methicillin-resistant Staphylococcus aureus decolonization, appropriate skin preparation, and optimizing perioperative antimicrobial prophylaxis; intraoperatively, including utilizing irrigation, topical antibiotics, infection control measures, and timely debridement/optimal surgical techniques; and postoperatively, including consideration of antibiotic duration after primary arthroplasty and reimplantation. This article provides an evidence-based discussion of these strategies while also highlighting areas where ongoing research may be beneficial.

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来源期刊
CiteScore
8.30
自引率
0.00%
发文量
75
审稿时长
6-12 weeks
期刊介绍: Infectious Disease Clinics of North America updates you on the latest trends in the clinical diagnosis and management of patients with infectious diseases, keeps you up to date on the newest advances, and provides a sound basis for choosing treatment options. Each issue focuses on a single topic in infectious disease, including clinical microbiology, compromised host infections, gastrointestinal infections, global health, hepatitis, HIV/AIDS, hospital-acquired infections, travel medicine, infection control, bacterial infections, sexually transmitted diseases, urinary tract infections, and viral infections.
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