Prosthetic joint infection: state-of-the-art

In current clinical practice, joint replacement is one of the progressive and permanently developed surgical treatments in patients with locomotor injury of any genesis. However, the upward trend in the number of replacements is inevitably accompanied by the rising number of patients with periprosth...

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Main Author: Boris Sergeyevich Belov
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2013-12-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/519
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author Boris Sergeyevich Belov
author_facet Boris Sergeyevich Belov
author_sort Boris Sergeyevich Belov
collection DOAJ
description In current clinical practice, joint replacement is one of the progressive and permanently developed surgical treatments in patients with locomotor injury of any genesis. However, the upward trend in the number of replacements is inevitably accompanied by the rising number of patients with periprosthetic joint infection. The polymorphism of its clinical picture and the nonspecificity of diagnostic tests lead to a frequent delay in the diagnosis of prosthetic joint infection (PJI) and thus late treatment. This paper gives an update on the etiology, epidemiology, clinical presentation, and diagnosis of PJI. Emphasis is laid on the value of a multimodal approach to PJI treatment Р a combination of surgery and etiotropic antibiotic therapy. The choice of a treatment modality is determined by patient status, comorbidity, and the magnitude and duration of the infectious process.
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spelling doaj.art-2394f36deeba4e1e91c1ff127aa3a25f2025-03-02T13:10:56ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2013-12-01744910.14412/1996-7012-2013-24311824Prosthetic joint infection: state-of-the-artBoris Sergeyevich Belov0V.A. Nasonova Research Institute of Rheumatology, Russian Academy of Medical Sciences, MoscowIn current clinical practice, joint replacement is one of the progressive and permanently developed surgical treatments in patients with locomotor injury of any genesis. However, the upward trend in the number of replacements is inevitably accompanied by the rising number of patients with periprosthetic joint infection. The polymorphism of its clinical picture and the nonspecificity of diagnostic tests lead to a frequent delay in the diagnosis of prosthetic joint infection (PJI) and thus late treatment. This paper gives an update on the etiology, epidemiology, clinical presentation, and diagnosis of PJI. Emphasis is laid on the value of a multimodal approach to PJI treatment Р a combination of surgery and etiotropic antibiotic therapy. The choice of a treatment modality is determined by patient status, comorbidity, and the magnitude and duration of the infectious process.https://mrj.ima-press.net/mrj/article/view/519joint replacementprosthetic joint infectionantibiotic therapy
spellingShingle Boris Sergeyevich Belov
Prosthetic joint infection: state-of-the-art
Современная ревматология
joint replacement
prosthetic joint infection
antibiotic therapy
title Prosthetic joint infection: state-of-the-art
title_full Prosthetic joint infection: state-of-the-art
title_fullStr Prosthetic joint infection: state-of-the-art
title_full_unstemmed Prosthetic joint infection: state-of-the-art
title_short Prosthetic joint infection: state-of-the-art
title_sort prosthetic joint infection state of the art
topic joint replacement
prosthetic joint infection
antibiotic therapy
url https://mrj.ima-press.net/mrj/article/view/519
work_keys_str_mv AT borissergeyevichbelov prostheticjointinfectionstateoftheart