Prevfention and principles of treatment prosthetic joint infections
<p><strong>Background:</strong> The infections of joint endoprostheses are relatively rare but they represent a major complication after the insertion of the artificial joint. For this reason it is very important to take measures in order to prevent these infections. The measures c...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Slovenian Medical Association
2007-02-01
|
| Series: | Zdravniški Vestnik |
| Subjects: | |
| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/1655 |
| _version_ | 1817999111921598464 |
|---|---|
| author | Drago Dolinar Branko Koritnik Jelka Meglič-Volkar Stanka Lotrič-Furlan |
| author_facet | Drago Dolinar Branko Koritnik Jelka Meglič-Volkar Stanka Lotrič-Furlan |
| author_sort | Drago Dolinar |
| collection | DOAJ |
| description | <p><strong>Background:</strong> The infections of joint endoprostheses are relatively rare but they represent a major complication after the insertion of the artificial joint. For this reason it is very important to take measures in order to prevent these infections. The measures consist of the following procedures: the preparation of the patient for the operation, the perioperative antibiotic protection and the postoperative prevention of possible later hematogenically occurring infections. The aims of the treatment of prosthetic infections are to stop or alleviate the inflammation, to prevent or reduce the chance of reoccurrence and to prevent a permanent, chronic infection. Clinically we try to achieve a functionally good result. The treatment is normally a combination of a surgical and a long-term antibiotic treatment. The patients with a stable implant, short-lived endoprosthetic infection with a microorganism susceptible to an antimicrobial agent can be successfully treated with debridement and specific antibiotics. In all other patients with a long-lived endoprosthetic infection and loose implant a more invasive procedure such as one-stage or even two-stage exchange has to be chosen.</p><p><strong>Conclusions:</strong> The treatment of orthopaedic implants is demanding and complicated. Therefore we think that such patients can get proper medical care only in specialized medical centres. When the right treatment procedure has been chosen the prospects of a successful treatment outcome are favourable.</p> |
| first_indexed | 2024-04-14T03:03:43Z |
| format | Article |
| id | doaj.art-6e63adfc85e741f88c92026df8923ffa |
| institution | Directory Open Access Journal |
| issn | 1318-0347 1581-0224 |
| language | English |
| last_indexed | 2024-04-14T03:03:43Z |
| publishDate | 2007-02-01 |
| publisher | Slovenian Medical Association |
| record_format | Article |
| series | Zdravniški Vestnik |
| spelling | doaj.art-6e63adfc85e741f88c92026df8923ffa2022-12-22T02:15:49ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242007-02-017621190Prevfention and principles of treatment prosthetic joint infectionsDrago DolinarBranko KoritnikJelka Meglič-VolkarStanka Lotrič-Furlan<p><strong>Background:</strong> The infections of joint endoprostheses are relatively rare but they represent a major complication after the insertion of the artificial joint. For this reason it is very important to take measures in order to prevent these infections. The measures consist of the following procedures: the preparation of the patient for the operation, the perioperative antibiotic protection and the postoperative prevention of possible later hematogenically occurring infections. The aims of the treatment of prosthetic infections are to stop or alleviate the inflammation, to prevent or reduce the chance of reoccurrence and to prevent a permanent, chronic infection. Clinically we try to achieve a functionally good result. The treatment is normally a combination of a surgical and a long-term antibiotic treatment. The patients with a stable implant, short-lived endoprosthetic infection with a microorganism susceptible to an antimicrobial agent can be successfully treated with debridement and specific antibiotics. In all other patients with a long-lived endoprosthetic infection and loose implant a more invasive procedure such as one-stage or even two-stage exchange has to be chosen.</p><p><strong>Conclusions:</strong> The treatment of orthopaedic implants is demanding and complicated. Therefore we think that such patients can get proper medical care only in specialized medical centres. When the right treatment procedure has been chosen the prospects of a successful treatment outcome are favourable.</p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1655joint prosthesisinfectionorthopedicstreatmentantibioticsprevention and control |
| spellingShingle | Drago Dolinar Branko Koritnik Jelka Meglič-Volkar Stanka Lotrič-Furlan Prevfention and principles of treatment prosthetic joint infections Zdravniški Vestnik joint prosthesis infection orthopedics treatment antibiotics prevention and control |
| title | Prevfention and principles of treatment prosthetic joint infections |
| title_full | Prevfention and principles of treatment prosthetic joint infections |
| title_fullStr | Prevfention and principles of treatment prosthetic joint infections |
| title_full_unstemmed | Prevfention and principles of treatment prosthetic joint infections |
| title_short | Prevfention and principles of treatment prosthetic joint infections |
| title_sort | prevfention and principles of treatment prosthetic joint infections |
| topic | joint prosthesis infection orthopedics treatment antibiotics prevention and control |
| url | http://vestnik.szd.si/index.php/ZdravVest/article/view/1655 |
| work_keys_str_mv | AT dragodolinar prevfentionandprinciplesoftreatmentprostheticjointinfections AT brankokoritnik prevfentionandprinciplesoftreatmentprostheticjointinfections AT jelkameglicvolkar prevfentionandprinciplesoftreatmentprostheticjointinfections AT stankalotricfurlan prevfentionandprinciplesoftreatmentprostheticjointinfections |