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

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World Journal of Orthopedics 2019年第10期10卷 348-355页

作者： Ewout S Veltman Dirk Jan F Moojen Marc L van Ogtrop Rudolf W Poolman Department of Orthopaedic and Trauma Surgery OLVGJoint Research OLVGAmsterdam 1091ACNetherlands Department of Orthopaedic Surgery Leiden University Medical CentreLeiden 2333ZANetherlands Department of Medical Microbiology OLVGAmsterdam 1091ACNetherlands

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.

关键词： Periprosthetic joint infection Two-stage revision Knee arthroplasty Hip arthroplasty coagulase-negative Staphylococcus

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