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Two-stage revision arthroplasty for coagulase-negative staphylococcal periprosthetic joint infection of the hip and knee

Two-stage revision arthroplasty for coagulase-negative staphylococcal periprosthetic joint infection of the hip and knee

作     者:Ewout S Veltman Dirk Jan F Moojen Marc L van Ogtrop Rudolf W Poolman 

作者机构:Department of Orthopaedic and Trauma SurgeryOLVGJoint Research OLVGAmsterdam 1091ACNetherlands Department of Orthopaedic SurgeryLeiden University Medical CentreLeiden 2333ZANetherlands Department of Medical MicrobiologyOLVGAmsterdam 1091ACNetherlands 

出 版 物:《World Journal of Orthopedics》 (世界骨科杂志(英文版))

年 卷 期:2019年第10卷第10期

页      面:348-355页

学科分类:10[医学] 

主  题:Periprosthetic joint infection Two-stage revision Knee arthroplasty Hip arthroplasty Coagulase-negative Staphylococcus 

摘      要:BACKGROUND Periprosthetic joint infections(PJIs)are frequently caused by coagulase-negative Staphylococci(CoNS),which is known to be a hard-to-treat *** resistance among causative pathogens of PJI is ***-stage revision is the favoured treatment for chronic CoNS infection of a hip or knee *** hypothesised that the infection eradication rate of our treatment protocol for two-stage revision surgery for CoNS PJI of the hip and knee would be comparable to eradication rates described in the *** To evaluate the infection eradication rate of two-stage revision arthroplasty for PJI caused by *** All patients treated with two-stage revision of a hip or knee prosthesis were retrospectively *** with CoNS infection were included in the study,including polymicrobial *** outcome was infection eradication at final *** Forty-four patients were included in the ***-nine patients were treated for PJI of the hip and fifteen for PJI of the *** final follow-up after a mean of 37 mo,recurrent or persistent infection was present in eleven *** PJI with CoNS can be a difficult to treat infection due to increasing antibiotic *** eradication rate of 70%-80%may be achieved.

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