Dolors Rodriguez *

Autor invitado por SIIC

El trabajo ayuda a resolver la controversia en torno del tratamiento de la infección aguda hematógena de prótesis articulares.

INFECCION PROTESICA AGUDA HEMATOGENA: EVALUACION PROSPECTIVA DEL TRATAMIENTO MEDICO Y QUIRURGICO

Estudio multicéntrico prospectivo sobre el manejo médico-quirúrgico de la infección protésica aguda hematógena (IPAH). En total se incluyeron 50 IPAH, 19 causadas por S. aureus, seguidas durante 2 años. En el análisis multivariado el único factor asociado con fracaso terapéutico fue el haber sido tratado de manera conservadora sin retirar el implante.

*Dolors Rodriguez
describe para SIIC los aspectos relevantes de su trabajo
ACUTE HAEMATOGENOUS PROSTHETIC JOINT INFECTION: PROSPECTIVE EVALUATION OF MEDICAL AND SURGICAL MANAGEMENT
Institución principal de la investigación
*Hospital Universitario Vall D'hebron, Barcelona, España
Imprimir nota

Comprar este artículo
Otros artículos escogidos

Referencias bibliográficas
1. Barberan J. Management of infections of osteoarticular prosthesis. Clin Microbiol Infect 12:S93–S101, 2006.
2. Pavoni GL, Giannella M, Falcone M et al. Conservative medical therapy of prosthetic joint infections: retrospective analysis of an 8-year experience. Clin Microbiol Infect 10:831–837, 2004.
3. Sia IG, Berbari EF, Karchmer AW. Prosthetic joint infections. Infect Dis Clin North Am 19:885–914, 2005.
4. Zimmerli W, Trampuz A, Ochsner PE. Prosthetic-joint infections. N Engl J Med 351:1645–1654, 2004.
5. Anguita-Alonso P, Hanssen AD, Patel R. Prosthetic joint infection. Expert Rev Anti Infect Ther 3:797–804, 2005.
6. Murdoch DR, Roberts SA, Fowler JV et al. Infection of orthopaedic prostheses after Staphylococcus aureus bacteremia. Clin Infect Dis 32:647–649, 2001.
7. Wigren A, Karlstrom G, Kaufer H. Hematogenous infection of total joint implants: a report of multiple joint infections in three patients. Clin Orthop Relat Res 152:288–291, 1980.
8. Pavoni GL, Falcone M, Baiocchi P et al. Conservative medical therapy of infections following osteosynthesis: a retrospective analysis of a six-year experience. J Chemother 14:378–383, 2002.
9. Ariza J, Euba G, Murillo O. Orthopedic device-related infections. Enferm Infecc Microbiol Clin 26:380–390, 2008.
10. Everts RJ, Chambers ST, Murdoch DR, Rothwell AG, McKie J. Successful antimicrobial therapy and implant retention for streptococcal infection of prosthetic joints. ANZ J Surg 74:210–214, 2004.
11. Marculescu CE, Berbari EF, Hanssen AD et al. Outcome of prosthetic joint infections treated with debridement and retention of components. Clin Infect Dis 42:471–478, 2006.
12. Meehan AM, Osmon DR, Duffy MC, Hanssen AD, Keating MR. Outcome of penicillin-susceptible streptococcal prosthetic joint infection treated with debridement and retention of the prosthesis. Clin Infect Dis 36:845–849, 2003.
13. Soriano A, Garcia S, Ortega M et al. Treatment of acute infection of total or partial hip arthroplasty with debridement and oral chemotherapy. Med Clin (Barc) 121:81–85, 2003.
14. Tsukayama DT, Estrada R, Gustilo RB. Infection after total hip arthroplasty. A study of the treatment of one hundred and six infections. J Bone Joint Surg Am 78:512–523, 1996.
15. Crockarell JR, Hanssen AD, Osmon DR, Morrey BF. Treatment of infection with debridement and retention of the components following hip arthroplasty. J Bone Joint Surg Am 80:1306–1313, 1998.

Otros artículos de Dolors Rodriguez

Rodríguez D, Pigrau C, Almirante B, Gasser I, Ruiz I, Pahissa A. Osteomielitis vertebral por Candida spp. Enferm Infec Microbiol Clin 21:568-70, 2003.
Pigrau C, Rodríguez D, Planes AM, Almirante B, Larrosa N, Ribera E, Gavaldá J, Pahissa A. Management of catheter-related Staphylococcus aureus bacteremia: When may sonographic Study be unnecessary? Eur J Clin Microbiol Infect Dis 22:713-19, 2003.
Cuenca-Estrella M, Rodríguez D, Almirante B, Morgan J, Planes AM, Almela M, Mensa J, Sánchez F, Ayats J, Jiménez M, Salvado M, Warnock DW, Pahissa A, Rodriguez-Tudela JL for the Barcelona candidemia Projet Study Group. In vitro susceptibilities of bloodstream isolates of Candida species to six antifungal agents: result from a population-based active surveillance program Barcelona, Spain, 2002-2003. J Antimicrob Chemother 55:194-99, 2005.
Almirante B, Rodríguez D, Park BJ, Cuenca-Estrella M, Planes AM, Almela M, Mensa J, Sánchez F, Ayats J, Giménez M, Saballs P, Fridkin SK, Morgan J, Rodríguez-Tudela JL, Warnock DW, Pahissa A. Epidemiology and Predictors of mortality in cases of Candida bloodstream infections: Results from population-based surveillance, Barcelona, Spain , from 2002 to 2003. J Clin Microbiol 43:1829-35, 2005.
Pigrau C, Almirante B, Flores X, Falco V, Rodríguez D, Gasser I, Villanueva C, Pahissa A. Spontaneous pyogenic vertebral osteomielitis and endocarditis: Incidence, risk factors, and outcome. Am J Med 118:1287.e17-1287.e24, 2005.
Rodríguez D, Almirante B, Park BJ, Cuenca-Estrella M, Planes AM, Sánchez F, Gene A, Xercavins M, Fontanals D, Rodriguez-Tudela JL, Warnock DW, Pahissa A. Candidemia in Neonatal Intensive Care Units - Barcelona, Spain. Ped Infec Dis J 25:224-29, 2006.
Rodríguez D, Park BJ, Almirante B, Cuenca-Estrella M, Planes AM, Mensa J, Giménez M, Fridkin SK, Rodríguez-Tudela JL, Pahissa A, Impact of early central venous catheter removal on outcome in patients with candidemia. Clin Microbiol Infect 13:788-93, 2007.
Pigrau C, Almirante B, Rodríguez D, Larrosa N, Bescos S, Raspall G, Pahissa A. Osteomyelitis of the jaw: resistance to clindamycin in patients with prior antibiotics exposure. Eur J Clin Microbiol Infect Dis 28:317-23, 2009.
Rodríguez D, Almirante B, Cuenca-Estrella M, Rodríguez-Tudela JL, Mensa J, Ayats J, Sánchez F, Pahissa A. Predictors of non-albicans Candida species candidemia: results of a population-based surveillance in Barcelona, Spain. Clin Microbiol Infect (Acceptance for publication 25 Feb 2010, in press).
Cobo J, Miguel LG, Euba G, Rodríguez D, García-Lechuz JM, Riera M, Falgueras L, Palomino J, Benito N., Dolores del Toro, Ariza J. Early prosthetic joint infection outcomes with debridement and implant retention followed by antibiotic therapy. Clin Microbiol Infect (Epub ahead of print).

Para comunicarse con Dolors Rodriguez mencionar a SIIC como referencia:

---

Acerca del trabajo completo

INFECCION PROTESICA AGUDA HEMATOGENA: EVALUACION PROSPECTIVA DEL TRATAMIENTO MEDICO Y QUIRURGICO

Título original en castellano
INFECCION PROTESICA AGUDA HEMATOGENA: EVALUACION PROSPECTIVA DEL TRATAMIENTO MEDICO Y QUIRURGICO

Autor
Dolors Rodriguez¹
1 Doctor, Hospital Universitario Vall D'hebron, Barcelona, España, Staff Infectious Disease Department

Acceso a la fuente original
Clinical Microbiology and Infection
http://www.blackwellpublishing.com/journal.asp?ref=1198-743X&site=1

El artículo se relaciona estrictamente con las especialidades de siicsalud
El artículo se conecta secundariamente con las especialidades