假体周围感染讲解课件.pptxVIP

PJI术后，如何使用抗生素？浙江中医药大学附属第一医院童培建2017.09.03什么是PJI关节假体周围感染（Periprosthetic joint infection，PJI），发生于关节置换术后，以膝关节（2%）、髋关节（0.45-0.57%）多见。Two-stage Revision for Periprosthetic Hip and Knee Joint Infections. The open orthropaedics journal. 2017Biofilm and the Role of Antibiotics in the Treatment of Periprosthetic Hip and Knee Joint Infections. The Open Orthopaedics Journal, 2016PJI诊断标准（AAOS标准）存在于假体相通的窦道受累人工关节部位2处组织或关节液样本中分离出同一病原体以下4条满足3条或以上ESR或CRP水平升高滑膜或关节液白细胞升高滑膜或关节液中性粒细胞百分比升高组织或关节液单次细菌培养阳性* Principles of Antibiotic Prophylaxis in Total Joint Arthroplasty: Current Concepts. JAAOS-D-15-00017,2016 PJI临床表现