Septic Arthritis and Prosthetic Joint Infections in Older Adults
Septic Arthritis and Prosthetic Joint Infections in Older Adults
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DOI：
10.1016/j.idc.2017.07.013
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发表时间：
2017-12-01
影响因子：
4.4
通讯作者：
Singh, Namrata
中科院分区：
文献类型：
--
作者：
Nair, Rajeshwari;Schweizer, Marin L.;Singh, Namrata
老年人患化脓性关节炎和假体关节感染 (PJI) 的风险增加，至少部分归因于合并症和虚弱。越来越多的老年人接受全关节置换术以提高生活质量。老年人的感染与年轻人的感染在致病微生物上有所不同，其中很大一部分是葡萄球菌感染。针对重要的可改变和不可改变的危险因素可以预防或减轻老年人关节感染的负担。本文总结了老年人化脓性关节炎和 PJI 的流行病学、发病机制、临床表现、诊断、治疗和预防。
Older adults are at increased risk for septic arthritis and prosthetic joint infections (PJIs), owing at least in part to comorbid conditions and frailty. An increasing number of older adults undergo total joint arthroplasty to improve their quality of life. Infections in older adults differ from younger populations by the causative organisms, a great proportion of which are staphylococcal infections. Targeting important modifiable and nonmodifiable risk factors may prevent or reduce the burden of joint infections in older adults. This article summarizes the epidemiology, pathogenesis, clinical manifestations, diagnosis, management, and prevention of septic arthritis and PJIs in older adults.