Protocolo para el Diagnostico, Manejo y Tratamiento de Infecciones Periprotesicas de Rodilla
Fecha
2024-03-22
Tipo
tesis
Autores
López Vega, Iván Américo
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Resumen
Introducción: las infecciones articulares periprotésicas (IAP) son una de las complicaciones más temibles de los reemplazos totales de rodilla (RTR) y cadera (RTC). El creciente número de reemplazos articulares que se realizan cada año en todo el mundo ha resultado en un aumento concomitante de infecciones bacterianas periprotésicas. Los consensos internacionales con base en estudios epidemiológicos y paneles de expertos son útiles para comparar los resultados de diferentes protocolos de manejo prequirúrgico y detección de factores de riesgo en el ámbito internacional. Esto les permite a las personas investigadoras proporcionar consensos para la prevención, diagnóstico y tratamiento de IAP. Este trabajo presenta una revisión actualizada de la literatura respecto a las IAP, consensos y recomendaciones de manejo aceptados por múltiples entidades científicas, para proponer, finalmente, un protocolo de manejo de las infecciones articulares protésicas de rodilla.
Método: se utilizaron motores de búsqueda de literatura científica biomédica, revistas científicas, consensos y libros en línea a través de Medline, PubMed, National Library of Medicine (NIH), International Consensus Meeting on Infection (ICM). Se obtuvieron múltiples estudios desde el año 2014 al 2023 para estudio, análisis y síntesis de recomendaciones e información sobre diagnóstico, tratamiento y manejo de IAP.
Resultados: se propone un protocolo dirigido a cualquier servicio de ortopedia institucional con definiciones actualizadas, algoritmos para diagnóstico (anexos), clasificación, tratamiento quirúrgico y cobertura antibiótica según las últimas guías y literatura actual.
Conclusión: se recomienda el uso del protocolo propuesto en este estudio para la IAP de rodilla, ya que permite homogeneizar el diagnóstico, manejo y tratamiento de estos pacientes para obtener los mejores resultados y permitir la confección de estudios retrospectivos que asistan con la actualización del protocolo.
Introduction: Periprosthetic joint infections (PJI) are one of the most feared complications of total knee (TKR) and total hip (THR) replacements, the increasing number of joint replacements performed each year worldwide has resulted in a concomitant increase of periprosthetic bacterial infections. International consensuses based on epidemiological studies and expert panels are useful to compare the results of different presurgical management protocols and detection of risk factors internationally and thus allow researchers to provide consensus for the prevention, diagnosis, and treatment of PJI. This work presents an updated review of the literature regarding PJI, consensus and management recommendations accepted by multiple scientific entities to finally propose a management protocol for prosthetic knee joint infections. Method:Searchenginesforbiomedicalscientificliterature,scientificjournals,consensus, and online books were used through MEDLINE, PubMed, National Library of Medicine (NIH), International Consensus Meeting on Infection (ICM), obtaining multiple studies from 2014 to 2023. for study, analysis and synthesis of recommendations and information on diagnosis, treatment, and management of PJI. Results: A protocol is proposed aimed at any institutional orthopedic service with updated definitions, diagnostic algorithms (annexes), classification, surgical treatment, and antibiotic coverage according to the latest guidelines and current literature. Conclusion: The use of the protocol proposed in this study for knee PJI is recommended as it will allow h omogen izing th e diagn osis, man agemen t, an d treatmen t of th ese patien ts to obtain the best results and allow the preparation of retrospective studies that assist with updating the protocol.
Introduction: Periprosthetic joint infections (PJI) are one of the most feared complications of total knee (TKR) and total hip (THR) replacements, the increasing number of joint replacements performed each year worldwide has resulted in a concomitant increase of periprosthetic bacterial infections. International consensuses based on epidemiological studies and expert panels are useful to compare the results of different presurgical management protocols and detection of risk factors internationally and thus allow researchers to provide consensus for the prevention, diagnosis, and treatment of PJI. This work presents an updated review of the literature regarding PJI, consensus and management recommendations accepted by multiple scientific entities to finally propose a management protocol for prosthetic knee joint infections. Method:Searchenginesforbiomedicalscientificliterature,scientificjournals,consensus, and online books were used through MEDLINE, PubMed, National Library of Medicine (NIH), International Consensus Meeting on Infection (ICM), obtaining multiple studies from 2014 to 2023. for study, analysis and synthesis of recommendations and information on diagnosis, treatment, and management of PJI. Results: A protocol is proposed aimed at any institutional orthopedic service with updated definitions, diagnostic algorithms (annexes), classification, surgical treatment, and antibiotic coverage according to the latest guidelines and current literature. Conclusion: The use of the protocol proposed in this study for knee PJI is recommended as it will allow h omogen izing th e diagn osis, man agemen t, an d treatmen t of th ese patien ts to obtain the best results and allow the preparation of retrospective studies that assist with updating the protocol.
Descripción
Palabras clave
infección periprotésica, infección articular protésica, TRATAMIENTO MÉDICO, Ortopedia, Traumatología