Haematogenous infection of a resurfacing hip replacement after transurethral resection of the prostate.

Haematogenous infection of a resurfacing hip replacement after transurethral resection of the prostate.
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经尿道前列腺切除术后置换髋关节的血源性感染。

DOI:
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发表时间:
2009
影响因子:
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通讯作者:
M. El
M. El
中科院分区:
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文献类型:
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作者:
H. Dabasia;M. Kokkinakis;M. El

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一名66岁男性在顺利的经尿道前列腺切除术后,在术后即刻出现感染的表面置换髋关节置换术。麻醉诱导时给予预防性抗生素。该髋关节假体在7年前植入,迄今为止没有任何症状。冲洗髋关节,微生物学检查确定粪肠球菌为感染微生物。尽管目前的建议,临床医生进行侵入性程序,可能会导致菌血症的患者与人工关节置换术应意识到的风险,造血种植在这样的假体,虽然低,有潜在的灾难性后果。
A 66-year-old man presented with an infected resurfacing hip replacement in the immediate post-operative period following an uneventful transurethral resection of the prostate. Prophylactic antibiotics had been administered on induction of anaesthesia. The hip prosthesis had been inserted seven years previously and had been hitherto asymptomatic. The hip was washed out and microbiological examination identified Enterococcus faecalis as the infecting micro-organism. Despite current recommendations, clinicians undertaking invasive procedures which can lead to bacteraemia in patients with prosthetic joint replacements should be aware of the risk of haematogenous seeding in such prostheses, which although low, has potentially disastrous consequences.
DOI: 10.1086/318704
发表时间: 2001-02-15
影响因子: 11.8
作者:
Murdoch, DR;Roberts, SA;Corey, GR
通讯作者: Corey, GR