Septic Arthritis and Prosthetic Joint Infections in Older Adults

被引:58
作者
Nair, Rajeshwari [1 ,2 ]
Schweizer, Marin L. [1 ,2 ]
Singh, Namrata [1 ,2 ]
机构
[1] Univ Iowa, Carver Coll Med, Dept Internal Med, Newton Rd, Iowa City, IA 52242 USA
[2] Iowa City Vet Affairs Healthcare Syst, Ctr Comprehens Access & Delivery Res & Evaluat CA, 601 Highway 6 West, Iowa City, IA 52246 USA
关键词
Prosthetic joint infection; Septic arthritis; Biofilm; Older adult; SUPPRESSIVE ANTIBIOTIC-THERAPY; RISK-FACTORS; RHEUMATOID-ARTHRITIS; CLINICAL-FEATURES; NATIVE JOINTS; ARTHROPLASTY; HIP; KNEE; EPIDEMIOLOGY; COMPLICATIONS;
D O I
10.1016/j.idc.2017.07.013
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
071005 [微生物学]; 100108 [医学免疫学];
摘要
Older adults are at increased risk for septic arthritis and prosthetic joint infections (PJIs), owing at least in part to comorbid conditions and frailty. An increasing number of older adults undergo total joint arthroplasty to improve their quality of life. Infections in older adults differ from younger populations by the causative organisms, a great proportion of which are staphylococcal infections. Targeting important modifiable and nonmodifiable risk factors may prevent or reduce the burden of joint infections in older adults. This article summarizes the epidemiology, pathogenesis, clinical manifestations, diagnosis, management, and prevention of septic arthritis and PJIs in older adults.
引用
收藏
页码:715 / +
页数:16
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