Prosthetic Joint Infection | 合法醫療器材資訊網

由AJTande著作·2014·被引用973次—Prostheticjointinfection(PJI),alsoreferredtoasperiprostheticinfection,isdefinedasinfectioninvolvingthejointprosthesisandadjacenttissue.Advancesinthe ...

In order to make appropriate empirical antimicrobial decisions before culture results are known, the common microbiological causes of PJI reported in the literature should be examined. The microbiological results of 14 large studies including >2,400 patients with hip or knee arthroplasty infection are collectively presented in Table 1[1] (24, 26, 57, 79, 93–[2]102[3]). These studies represent a spectrum of surgical strategies, countries, and time points. Gram-positive cocci are involved in the majority of hip and knee PJIs in all of the studies examined. This is driven largely by infection with S. aureus and coagulase-negative staphylococci, which contribute to between 50 and 60% of PJIs, while streptococci and enterococci together account for only approximately 10% of cases. The proportions of PJIs caused by S. aureus and coagulase-negative Staphylococcus species appear to be relatively equal when these studies are evaluated in aggregate but ...