Pressure sores and underlying bone infection.

Pressure sores and underlying bone infection.
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压疮和潜在的骨感染。

DOI:
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发表时间:
1987
影响因子:
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通讯作者:
B. Sugarman
B. Sugarman
中科院分区:
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文献类型:
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作者:
B. Sugarman

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压疮是住院和慢性病患者的严重并发症。通过放射学、核成像和软组织培养研究,当不存在感染时,可能难以评估潜在的骨感染,这些研究异常并提示存在骨感染。通过骨活检结合组织学和微生物学研究进行评估可以准确和及时地诊断是否存在骨感染。这允许在感染存在时进行适当的治疗,并在初步研究错误地表明感染存在时防止不必要的和潜在毒性的抗生素治疗。
Pressure sores are a serious complication of hospitalized and chronically ill patients. Evaluation for underlying bone infection can be made difficult by radiographic, nuclear imaging, and soft-tissue culture studies that are abnormal and suggest the presence of bone infection, when no infection is present. Evaluation by bone biopsy with histologic and microbiological studies can accurately and promptly diagnose whether bone infection is present. This allows appropriate treatment when infection is present, and prevents unneeded and potentially toxic antibiotic therapy when preliminary studies incorrectly suggest that infection is present.