Progress in diagnosis and treatment of spinal infection.docVIP

 PAGE \* MERGEFORMAT 27 Progress in diagnosis and treatment of spinal infection Keywords: diagnosis of spinal infection In China, the spinal infectious diseases affect people’s health has been an important reason. As diagnostic imaging technology and the application of the new generation of antibiotics, the incidence has declined. However, treatment of spinal infectious diseases, there are still many shortcomings. Early diagnosis, the use of appropriate antibiotics, surgery is still timely and correct treatment of the key. Cent of all spinal osteomyelitis osteomyelitis 2% to 7% 〔1〕. Its susceptibility factors include: diabetes, malnutrition, drug abuse, HIV infection, malignancy, long-term use of steroid drugs, such as kidney failure and septicemia 〔2〕. A lack of protein in T cells, leading to reduced blood circulation, thus affecting the production of cytokines is also an important reason for 〔3〕. HIV infected patients more prone to injury due to neutrophils infected with fungi and tuberculosis, leading to reduction in cell count, cell dysfunction, 〔4〕. Another HIV infection and TB infection are closely linked, about 1 / 3 of TB infection can be attributed to HIV infection. At present more than 200 million people worldwide are infected with spinal tuberculosis, its incidence is increasing. Spinal epidural abscess is an important type of infection and its route of transmission include infected tissue close to the direct spread and iatrogenic seeding, which may occur in invasive diagnosis or treatment in the process of accounting for the incidence of epidural abscess 14% ~ 26%. Because of its signs and symptoms was not obvious, particularly the elderly and children, often delayed diagnosis and treatment, increased the incidence of the disease and mortality. Vertebral osteomyelitis, between the disc inflammation, epidural abscesses in the infected showed painless, continuous process. Course of treatment, combination therapy need to