Prosthetic joint infections by multi-drug resistant bacteria

Prosthetic joint infections by multi-drug resistant bacteria are today one of the most important and complex problems in orthopedics and traumatology. Most important and frequent resistant bacteria involved in infection of total joint replacements include: methicillin-resistant Staphylococcus aureus...

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Veröffentlicht in:	Le infezioni in medicina 2010-03, Vol.18 (1), p.5
Hauptverfasser:	Bulla, Fabio, Filippini, Pietro
Format:	Artikel
Sprache:	ita
Schlagworte:	Anti-Bacterial Agents - pharmacology Anti-Bacterial Agents - therapeutic use Arthritis, Infectious - diagnosis Arthritis, Infectious - drug therapy Arthritis, Infectious - epidemiology Arthritis, Infectious - etiology Arthritis, Infectious - microbiology Arthritis, Infectious - surgery Bacteriological Techniques Case Management Combined Modality Therapy Drug Resistance, Multiple, Bacterial Gram-Negative Bacteria - drug effects Gram-Negative Bacteria - isolation & purification Gram-Negative Bacterial Infections - diagnosis Gram-Negative Bacterial Infections - drug therapy Gram-Negative Bacterial Infections - epidemiology Gram-Negative Bacterial Infections - microbiology Gram-Negative Bacterial Infections - surgery Gram-Positive Bacteria - drug effects Gram-Positive Bacteria - isolation & purification Gram-Positive Bacterial Infections - diagnosis Gram-Positive Bacterial Infections - drug therapy Gram-Positive Bacterial Infections - epidemiology Gram-Positive Bacterial Infections - microbiology Gram-Positive Bacterial Infections - surgery Humans Incidence Italy - epidemiology Microbial Sensitivity Tests Prosthesis-Related Infections - diagnosis Prosthesis-Related Infections - drug therapy Prosthesis-Related Infections - epidemiology Prosthesis-Related Infections - microbiology Prosthesis-Related Infections - surgery Surgical Wound Infection - diagnosis Surgical Wound Infection - drug therapy Surgical Wound Infection - epidemiology Surgical Wound Infection - microbiology Surgical Wound Infection - surgery
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Beschreibung
Zusammenfassung:	Prosthetic joint infections by multi-drug resistant bacteria are today one of the most important and complex problems in orthopedics and traumatology. Most important and frequent resistant bacteria involved in infection of total joint replacements include: methicillin-resistant Staphylococcus aureus, methicillin-resistant coagulase-negative staphylococci, vancomycin-resistant enterococci, multidrug-resistant Pseudomonas aeruginosa and Acinetobacter baumannii. There are several laboratory tests available, but none has been shown to achieve 100% of sensitivity and specificity. Treatment of a patient with infection by a resistant organism, requires costly and prolonged hospital stay, weeks or months of antibiotic therapy, and often multiple surgical procedures. Only a strictly cooperation between orthopedic surgeon and infectious disease specialist, before, during and after prosthetic joint procedure, could improve patient management.
ISSN:	1124-9390