Prevention of Periprosthetic Joint Infection.
Arch Bone Jt Surg. 2015 Apr;3(2):72-81.
Shahi A1, Parvizi J1.
1Alisina Shahi MD Javad Parvizi MD, FRCS The Rothman Institute of Orthopaedics at Thomas Jefferson University, Philadelphia, PA.
Prosthetic joint infection (PJI) is a calamitous complication with high morbidity and substantial cost. The reported incidence is low but it is probably underestimated due to the difficulty in diagnosis. PJI has challenged the orthopaedic community for several years and despite all the advances in this field, it is still a real concern with immense impact on patients, and the healthcare system. Eradication of infection can be very difficult. Therefore, prevention remains the ultimate goal. The medical community has executed many practices with the intention to prevent infection and treat it effectively when it encounters. Numerous factors can predispose patients to PJI. Identifying the host risk factors, patients’ health modification, proper wound care, and optimizing operative room environment remain some of the core fundamental steps that can help minimizing the overall incidence of infection. In this review we have summarized the effective prevention strategies along with the recommendations of a recent International Consensus Meeting on Surgical Site and Periprosthetic Joint Infection.
Entry filed under: Antimicrobianos, Bacterias, Desinfection and Sterilization, Epidemiología, FIEBRE en el POSTOPERATORIO, Health Care-Associated Infections, Infecciones en piel y tej blandos, Infecciones nosocomiales, Infecciones osteo-articulares-musculares, Infecciones relacionadas a prótesis, Infecciones sitio quirurgico, Inmunizaciones, Metodos diagnosticos, Profilaxis Antibiótica en Cirugía - PAC, Sepsis, Update.