Treatment of Periprosthetic Infection: Where and Who?

The present work is dedicated to analysis and comparison of national and international practice standards for treatment of periprosthetic infection within a context of treatment center and speciality of physicians. The authors made a partial review of medical and legal issues related to the studied...

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Main Authors: A. P. Sereda, V. N. Bogdan, M. A. Andrianova, M. Berenstein
Format: Article
Language:Russian
Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2019-12-01
Series:Travmatologiâ i Ortopediâ Rossii
Subjects:
Online Access:https://journal.rniito.org/jour/article/view/1346
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author A. P. Sereda
V. N. Bogdan
M. A. Andrianova
M. Berenstein
author_facet A. P. Sereda
V. N. Bogdan
M. A. Andrianova
M. Berenstein
author_sort A. P. Sereda
collection DOAJ
description The present work is dedicated to analysis and comparison of national and international practice standards for treatment of periprosthetic infection within a context of treatment center and speciality of physicians. The authors made a partial review of medical and legal issues related to the studied topic by the example of Russian Federation, Germany, USA, England. 118 orthopaedic surgeons were surveyed via internet aiming to evaluate the current medical practice in treatment of patients with periprosthetic infection. Survey demonstrated that there are clinical and organizational complexities in the medical care system for patients with PJI. Most often the responders reported difficulties in the medical succession and see the potential solution through creation of a network of large specialized centers. Resulting was the conclusion that physicians of all specialities should be involved in treatment of patients with periprosthetic infection. Treatment scope depends on professionalism of a physician and technical equipment of the clinic and should correspond to the best clinical practices (treatment protocols). Thus, a rapid routing of patient into more specialized hospitals. Implementation of such approach is possible with careful balancing between the quality of medical care and its proximity to the patient.
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spelling doaj.art-b84c385779d1409ba3099d9f203d86ea2022-12-21T23:32:15ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332019-12-01254335510.21823/2311-2905-2019-25-4-33-55839Treatment of Periprosthetic Infection: Where and Who?A. P. Sereda0V. N. Bogdan1M. A. Andrianova2M. Berenstein3Federal Medical Biological AgencyHelios Amper-Klinikum; Ludwig-Maximilians-UniversitätRosatom Public Corporation for Atomic EnergyJoseftal HospitalThe present work is dedicated to analysis and comparison of national and international practice standards for treatment of periprosthetic infection within a context of treatment center and speciality of physicians. The authors made a partial review of medical and legal issues related to the studied topic by the example of Russian Federation, Germany, USA, England. 118 orthopaedic surgeons were surveyed via internet aiming to evaluate the current medical practice in treatment of patients with periprosthetic infection. Survey demonstrated that there are clinical and organizational complexities in the medical care system for patients with PJI. Most often the responders reported difficulties in the medical succession and see the potential solution through creation of a network of large specialized centers. Resulting was the conclusion that physicians of all specialities should be involved in treatment of patients with periprosthetic infection. Treatment scope depends on professionalism of a physician and technical equipment of the clinic and should correspond to the best clinical practices (treatment protocols). Thus, a rapid routing of patient into more specialized hospitals. Implementation of such approach is possible with careful balancing between the quality of medical care and its proximity to the patient.https://journal.rniito.org/jour/article/view/1346periprosthetic infectionstaged treatmentrouting of patient
spellingShingle A. P. Sereda
V. N. Bogdan
M. A. Andrianova
M. Berenstein
Treatment of Periprosthetic Infection: Where and Who?
Travmatologiâ i Ortopediâ Rossii
periprosthetic infection
staged treatment
routing of patient
title Treatment of Periprosthetic Infection: Where and Who?
title_full Treatment of Periprosthetic Infection: Where and Who?
title_fullStr Treatment of Periprosthetic Infection: Where and Who?
title_full_unstemmed Treatment of Periprosthetic Infection: Where and Who?
title_short Treatment of Periprosthetic Infection: Where and Who?
title_sort treatment of periprosthetic infection where and who
topic periprosthetic infection
staged treatment
routing of patient
url https://journal.rniito.org/jour/article/view/1346
work_keys_str_mv AT apsereda treatmentofperiprostheticinfectionwhereandwho
AT vnbogdan treatmentofperiprostheticinfectionwhereandwho
AT maandrianova treatmentofperiprostheticinfectionwhereandwho
AT mberenstein treatmentofperiprostheticinfectionwhereandwho