[Fracture-related infections in traumatology : Current standards and new developments in diagnostics and treatment].
Implantatassoziierte Infektionen in der Traumatologie : Aktuelle Standards und neue Entwicklungen in der Diagnostik und Behandlung.
Biofilm
Complication management
Fracture-related infection (FRI)
Multidisciplinary team
Osteomyelitis
Journal
Der Orthopade
ISSN: 1433-0431
Titre abrégé: Orthopade
Pays: Germany
ID NLM: 0331266
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
pubmed:
17
7
2020
medline:
12
9
2020
entrez:
17
7
2020
Statut:
ppublish
Résumé
The high demands that fracture-related infections put on patients, physicians and the healthcare system have led to the establishment of a international group of experts called the Fracture-Related Infection (FRI) Consensus Group, whose aim is to develop evidence-based treatment recommendations. Fracture-related infections are classified according to the time of occurrence, extent and treatment options. The diagnostic algorithm distinguishes between confirmatory and suggestive diagnostic criteria. If there are indications of an infection, tissue biopsy with microbiological and histological workup is recommended to confirm the diagnosis. The primary objective of FRI treatment is to achieve fracture consolidation, while avoiding osteomyelitis. Therapeutic options are removal of the implant, eradication of the infection with implant retention or suppression of FRI. A multidisciplinary team is recommended to develop a patient-specific, optimized surgical and antimicrobial therapy.
Sections du résumé
BACKGROUND
BACKGROUND
The high demands that fracture-related infections put on patients, physicians and the healthcare system have led to the establishment of a international group of experts called the Fracture-Related Infection (FRI) Consensus Group, whose aim is to develop evidence-based treatment recommendations.
DIAGNOSIS
METHODS
Fracture-related infections are classified according to the time of occurrence, extent and treatment options. The diagnostic algorithm distinguishes between confirmatory and suggestive diagnostic criteria. If there are indications of an infection, tissue biopsy with microbiological and histological workup is recommended to confirm the diagnosis.
THERAPY
METHODS
The primary objective of FRI treatment is to achieve fracture consolidation, while avoiding osteomyelitis. Therapeutic options are removal of the implant, eradication of the infection with implant retention or suppression of FRI. A multidisciplinary team is recommended to develop a patient-specific, optimized surgical and antimicrobial therapy.
Identifiants
pubmed: 32671414
doi: 10.1007/s00132-020-03948-y
pii: 10.1007/s00132-020-03948-y
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Review
Langues
ger
Sous-ensembles de citation
IM