Investigation and management of prosthetic joint infection in knee replacement: A BASK Surgical Practice Guideline
| Autor: | P. Hopgood, B. Mockford, R. W. J. Carrington, P. Walmsley, Lee Jeys, J.R.A. Phillips, R. Spencer-Jones, N. Jenkins, Benjamin V. Bloch, Abtin Alvand, Nicholas S. Kalson, N. R. Howells, R. Kerry, KS Eyres, James Murray, Philip James, P.N. Baker, Jonathan Miles, R. Morgan-Jones, B. Waterson, David J. Deehan, J.P. Whittaker, A.D. Toms, A J Price, M. Sarungi, G. Pavlou, William Jackson, Andrew Porteous, A. Gambhir, David Barrett, J.A. Mathews |
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| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
Referral business.industry medicine.medical_treatment Prosthetic joint infection Knee replacement Guideline medicine.disease Arthroplasty 03 medical and health sciences 0302 clinical medicine medicine Care pathway Orthopedics and Sports Medicine 030212 general & internal medicine Limited evidence Medical emergency business Surgical treatment |
| Zdroj: | The Knee. 27:1857-1865 |
| ISSN: | 0968-0160 |
| DOI: | 10.1016/j.knee.2020.09.010 |
| Popis: | Background The burden of knee replacement prosthetic joint infection (KR PJI) is increasing. KR PJI is difficult to treat, outcomes can be poor and it is financially expensive and limited evidence is available to guide treatment decisions. Aim To provide guidelines for surgeons and units treating KR PJI. Methods Guideline formation by consensus process undertaken by BASK's Revision Knee Working Group, supported by outputs from UK-PJI meetings. Results Improved outcomes should be achieved through provision of care by revision centres in a network model. Treatment of KR PJI should only be undertaken at specialist units with the required infrastructure and a regular infection MDT. This document outlines practice guidelines for units providing a KR PJI service and sets out: • The necessary infrastructure required to provide a high-quality KR PJI service • The MDT composition — who and when • The KR PJI care pathway • Medical and surgical treatment strategies • The indications for referral to tertiary units (Major Revision Centres) • Outcome metrics and auditable standards Conclusions KR PJI patients treated within the NHS should be provided the best care possible. This report sets out guidance and support for surgeons and units to achieve this. |
| Databáze: | OpenAIRE |
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