{"id":65,"date":"2019-11-05T12:24:46","date_gmt":"2019-11-05T11:24:46","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/protesis\/ca\/?p=65"},"modified":"2019-12-02T16:55:23","modified_gmt":"2019-12-02T15:55:23","slug":"errors-infeccio-de-protesi","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/protesis\/ca\/errors-infeccio-de-protesi\/","title":{"rendered":"Errors en la profilaxi, diagn\u00f2stic i tractament de la infecci\u00f3 de pr\u00f2tesi de maluc i genoll"},"content":{"rendered":"

La\u00a0infecci\u00f3 de pr\u00f2tesi de maluc o genoll<\/strong><\/a>\u00a0\u00e9s una infecci\u00f3 associada a un implant inert, la pr\u00f2tesi.<\/span>\u00a0Per tant, la seva fisiopatologia, diagn\u00f2stic i tractament \u00e9s diferent a altres infeccions m\u00e9s conegudes.<\/span>\u00a0Aquest fet fa que es puguin produir m\u00e9s freq\u00fcentment\u00a0errors en la profilaxi, diagn\u00f2stic i tractament.<\/strong><\/span>\u00a0Recentment Cheng Li i col.<\/span>\u00a0han publicat un article a la revista\u00a0International Orthopaedics<\/em><\/a>\u00a0on posen de manifest els\u00a020 errors m\u00e9s comuns en el diagn\u00f2stic i tractament de les infeccions prot\u00e8siques articulars<\/strong><\/a>\u00a0.<\/span>\u00a0A banda, tamb\u00e9 \u00e9s molt important tenir en compte els\u00a0errors en la profilaxi.<\/strong><\/span>
\n<\/p>\n

\n

ET POT INTERESSAR\u2026<\/h4>\n

International Orthopaedics<\/span><\/a><\/small><\/p>\n

Twenty common errors in the diagnosis and treatment of periprosthetic joint infection<\/a><\/h4>\n

Cheng Li, Nora Renz,\u00a0Andrej Trampuz<\/a>,\u00a0Cristina Ojeda-Thies<\/a><\/p>\n<\/div>\n

ERRORS EN LA PROFILAXI<\/strong><\/span><\/h2>\n

Dins d’aquests\u00a0errors en la profilaxi davant infecci\u00f3 de pr\u00f2tesi,<\/strong>\u00a0podem trobar: no utilitzar una profilaxi antibi\u00f2tica en una\u00a0cirurgia de pr\u00f2tesi de genoll o maluc<\/strong><\/a>\u00a0, utilitzar un antibi\u00f2tic no efectiu per a la profilaxi, iniciar la profilaxi antibi\u00f2tica massa aviat o de manera tardana, no realitzar la descolonitzaci\u00f3 preoperat\u00f2ria dels pacients portadors del\u00a0Staphylococcus aureus<\/em><\/a>\u00a0resistent a la meticil\u00b7lina, no optimitzar els pacients de les seves malalties de base, no realitzar una correcta preparaci\u00f3 quir\u00fargica de la pell per reduir la taxa d’infecci\u00f3.<\/span>\u00a0\u00a0<\/strong>\u00a0<\/strong><\/p>\n

ERRORS EN EL DIAGN\u00d2STIC<\/strong><\/span><\/h2>\n

Dins dels\u00a0errors del diagn\u00f2stic d’infecci\u00f3n de pr\u00f2tesi de maluc o genoll,<\/strong>\u00a0podem trobar: realitzar un diagn\u00f2stic tard\u00e0 de la infecci\u00f3, utilitzar el frotis per a les mostres profundes periprot\u00e9sicas, utilitzar nom\u00e9s la\u00a0prote\u00efna C-reactiva<\/a>\u00a0en s\u00e8rum i la velocitat de eritrosedimentaci\u00f3 per descartar l’infecci\u00f3 prot\u00e8sica<\/strong><\/a>\u00a0, analitzar de forma incompleta el l\u00edquid sinovial, no tenir en compte els possibles focus d’infecci\u00f3, interpretar de manera err\u00f2nia la purul\u00e8ncia macrosc\u00f2pica com infecci\u00f3 en el cas dels parells metall-metall i dependre de manera excessiva dels criteris diagn\u00f2stics actuals<\/a>.<\/span><\/p>\n

\n

ET POT INTERESSAR\u2026<\/h4>\n

Infecci\u00f3n de pr\u00f3tesis de rodilla o cadera: Diferencias entre infecci\u00f3n aguda y cr\u00f3nica<\/a><\/h4>\n<\/div>\n

ERRORS EN EL TRACTAMENT<\/span><\/h2>\n

Dins d’aquests\u00a0errors en el tractament de la infecci\u00f3 de pr\u00f2tesi,<\/strong>\u00a0podem trobar: utilitzar un tractament conservador amb antibi\u00f2tics en els primers estadis d’una infecci\u00f3, utilitzar un tractament antibi\u00f2tic previ al diagn\u00f2stic definitiu microbiol\u00f2gic, no individualitzar el tractament en funci\u00f3 del tipus d’infecci\u00f3, utilitzar el rentat artrosc\u00f2pic per al\u00a0tractament de la infecci\u00f3 prot\u00e8sica<\/strong>,\u00a0no utilitzar els antibi\u00f2tics correctes en els espaiadors de ciment, realitzar un desbridament insuficient o un recanvi incomplet d’implants prot\u00e8tics, errors en la selecci\u00f3 del tractament antibi\u00f2tic sist\u00e8mic i no treballar amb un\u00a0equip multidisciplinari i una unitat especialitzada<\/a>\u00a0.<\/span><\/p>\n

Per tant, davant d’aquest escenari \u00e9s molt important que, davant una\u00a0infecci\u00f3 de prot\u00e8si de genoll i maluc<\/a><\/strong>, es visiti i sigui tractada per un\u00a0equip de cirurgians especialitzats en el tractament d’aquesta patologia<\/a>.<\/p>\n

\n
\n

VOLS\u00a0CONTACTAR\u00a0AMB EL DR. GUILLEM BORI?<\/span><\/h1>\n

DEMANAR CITA PRESENCIAL<\/a> |\u00a0SOL\u00b7LICITAR TELEVISITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

La\u00a0infecci\u00f3 de pr\u00f2tesi de maluc o genoll\u00a0\u00e9s una infecci\u00f3 associada a un implant inert, la pr\u00f2tesi.\u00a0Per tant, la seva fisiopatologia, diagn\u00f2stic i tractament \u00e9s diferent a altres infeccions m\u00e9s conegudes.\u00a0Aquest fet fa que es puguin produir m\u00e9s freq\u00fcentment\u00a0errors en la profilaxi, diagn\u00f2stic i tractament.\u00a0Recentment Cheng Li i col.\u00a0han publicat un article a la revista\u00a0International Orthopaedics\u00a0on […]<\/p>\n","protected":false},"author":2,"featured_media":64,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22],"tags":[32,33,34,35,36,37,25,38,39],"yoast_head":"\nErrors de profilaxi, diagn\u00f2stic i tractament en infecci\u00f3 de pr\u00f2tesi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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