[article]
| Titre : |
Variety in diagnosis and treatment of periprosthetic joint infections in Belgium and the Netherlands |
| Type de document : |
texte imprimé |
| Auteurs : |
Jesse W.P. Kuiper ; Stan Vos ; Bart J. Burger ; Sascha Colen |
| Année de publication : |
2016 |
| Article en page(s) : |
p. 149-160 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
infection articulation prothese arthroplastie |
| Résumé : |
Recently, guidelines regarding diagnosis and treatment of periprosthetic joint infection (PJI) have been published, but it is unknown how well these are followed in the Netherlands and Belgium. Therefore, a survey study was performed in the Netherlands and Belgium. 81 orthopedic departments responded (54% in the Netherlands, 52% in Belgium). The majority used protocols for antibiotic and surgical treatment. To discriminate between early and late infection, differences in periods used were seen between respondents, and between countries. Empirical antibiotic treatment varied greatly. Debridement, antibiotics, irrigation and retention of the prosthesis (DAIR) is the almost unanimous treatment of choice for early PJI. Guidelines are available, but seem not (yet) to be followed accurately, and do not have answers to all possible treatment options. Perhaps, national guidelines might produce more standardized care, and consequentially, easier comparison for research, more transparency for patients, and less health care costs. |
| Permalink : |
./index.php?lvl=notice_display&id=46076 |
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 149-160
[article] Variety in diagnosis and treatment of periprosthetic joint infections in Belgium and the Netherlands [texte imprimé] / Jesse W.P. Kuiper ; Stan Vos ; Bart J. Burger ; Sascha Colen . - 2016 . - p. 149-160. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 149-160
| Mots-clés : |
infection articulation prothese arthroplastie |
| Résumé : |
Recently, guidelines regarding diagnosis and treatment of periprosthetic joint infection (PJI) have been published, but it is unknown how well these are followed in the Netherlands and Belgium. Therefore, a survey study was performed in the Netherlands and Belgium. 81 orthopedic departments responded (54% in the Netherlands, 52% in Belgium). The majority used protocols for antibiotic and surgical treatment. To discriminate between early and late infection, differences in periods used were seen between respondents, and between countries. Empirical antibiotic treatment varied greatly. Debridement, antibiotics, irrigation and retention of the prosthesis (DAIR) is the almost unanimous treatment of choice for early PJI. Guidelines are available, but seem not (yet) to be followed accurately, and do not have answers to all possible treatment options. Perhaps, national guidelines might produce more standardized care, and consequentially, easier comparison for research, more transparency for patients, and less health care costs. |
| Permalink : |
./index.php?lvl=notice_display&id=46076 |
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Variety in diagnosis and treatment of periprosthetic joint infections in Belgium and the Netherlands in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)
