关节成形术感染预防战略：PREVINQ-CAT协议的影响

IF 2.5 4区医学 Q3 INFECTIOUS DISEASES

Enfermedades infecciosas y microbiologia clinica Pub Date : 2025-10-01 DOI:10.1016/j.eimc.2025.01.008

Raquel Maroto-Rodríguez , Aina Ruiz Puig , Pilar Barrufet Barqué , Jorge Payo Rodríguez , José Cordero-Ampuero

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引用次数: 0

摘要

关节置换术中手术部位感染（SSI）是一个常见的问题，它增加了发病率、死亡率和住院费用。本研究评估了PREVINQ-CAT方案对降低Mataró医院SSI发生率的影响。方法收集2019 - 2023年全髋关节（THA）和膝关节置换术（TKA）患者的sssi数据。对自2022年开始实施的PREVINQ-CAT措施的依从性和有效性进行分析。结果该研究包括每年约300例选择性和紧急THA手术和270例选择性TKA手术的样本。实施PREVINQ-CAT后，THA的SSI发生率在2021年达到峰值（4%），在2023年降至1.5%，但无统计学意义（P= 0.47）。在TKA中，SSI稳定在0.5%左右，2019-2021年和2022-2023年期间无显著差异（P=.907）。2023年，适当抗生素治疗的依从性从70%增加到90% （P= 0.58）。2022年，只有0.3%的病例未采取任何措施，而在2023年，所有干预措施都至少采取了一项措施，其中最常采取的是两项预防措施（2022年为77.2%，2023年为78%）。结论PREVINQ-CAT方案有助于减少THA中的SSI，并维持TKA的低发生率。虽然差异没有统计学意义，但对预防措施的高度依从性突出了骨科手术中特定方案的重要性。

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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Estrategias para la prevención de infecciones en artroplastias: impacto del protocolo PREVINQ-CAT

Introduction

Surgical site infection (SSI) in arthroplasty is a common issue that increases morbidity, mortality, and hospital costs. This study evaluated the impact of the PREVINQ-CAT protocol on reducing SSI rates at Hospital de Mataró.

Methods

SSI data for total hip (THA) and knee arthroplasty (TKA) were collected from 2019 to 2023. The adherence and effectiveness of PREVINQ-CAT measures, implemented since 2022, were analyzed.

Results

The study included an annual sample of approximately 300 elective and urgent THA surgeries and 270 elective TKA surgeries. SSI incidence in THA peaked in 2021 (>4%) and decreased to 1.5% in 2023 following PREVINQ-CAT implementation, though without statistical significance (P=.47). In TKA, SSI remained stable at around 0.5%, with no significant differences between the 2019-2021 and 2022-2023 periods (P=.907). Adherence to appropriate antibiotic therapy increased from 70% to 90% in 2023 (P=.58). In 2022, only 0.3% of cases did not implement any measure, whereas in 2023, all interventions adhered to at least one, with 2 preventive measures being the most frequently applied (77.2% in 2022 and 78% in 2023).

Conclusion

The PREVINQ-CAT protocol contributed to reducing SSI in THA and maintaining low rates in TKA. Although the differences were not statistically significant, the high adherence to preventive measures highlights the importance of specific protocols in orthopedic surgery.

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来源期刊

Enfermedades infecciosas y microbiologia clinica 医学-传染病学

CiteScore

2.10

自引率

8.00%

发文量

194

审稿时长

29 days

期刊介绍： Hoy está universalmente reconocida la renovada y creciente importancia de la patología infecciosa: aparición de nuevos agentes patógenos, de cepas resistentes, de procesos con expresión clínica hasta ahora desconocida, de cuadros de una gran complejidad. Paralelamente, la Microbiología y la Infectología Clínicas han experimentado un gran desarrollo como respuesta al reto planteado por la actual patología infecciosa. Enfermedades Infecciosas y Microbiología Clínica es la Publicación Oficial de la Sociedad Española SEIMC. Cumple con la garantía científica de esta Sociedad, la doble función de difundir trabajos de investigación, tanto clínicos como microbiológicos, referidos a la patología infecciosa, y contribuye a la formación continuada de los interesados en aquella patología mediante artículos orientados a ese fin y elaborados por autores de la mayor calificación invitados por la revista.