General Assembly, Treatment, Multidisciplinary Issues: Proceedings of International Consensus on Orthopedic Infections

Anderson, Mike B.; Arciola, Carla Renata; Sarvanan, Sankaranarayanan Arumugam; Campoccia, Davide; Certain, Laura; Díaz-Ledezma, Claudio; Montanaro, Lucio; Aguilera, Samuel Parra; Pelt, Christopher E.; Puhto, Ari‐Pekka; Sergei, Oshkukov; Тихилов, Р М; Волошин, В. П.; Yan, Chun Hoy

doi:10.1016/j.arth.2018.09.075

Cited by 8 publications

(9 citation statements)

References 50 publications

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“…The days of surgeon-centered practice are long gone. Care for patients in nearly all fields has to, and needs to continue to, involve a multidisciplinary team of medical professionals [5,7,11]. This involves communication throughout patient care, from diagnosis to follow-up, with contributions from numerous specialists.…”

Section: Multidisciplinary Approachmentioning

confidence: 99%

“…The list of providers and their roles goes on and on and varies depending on the patient and care environment. Surgeons should be aware of the team members at their disposal and efforts should be made to establish a protocol to facilitate this process [5].…”

Section: Multidisciplinary Approachmentioning

confidence: 99%

“…Access to a multidisciplinary group of healthcare providers is often difficult, and high-volume, specialized treatment centers are often best equipped to provide such care [6,16,17]. For this reason, treatment with a multidisciplinary approach and treatment at a high-volume tertiary care center are closely intertwined [5]. Specialized treatment centers have long reported better outcomes after primary TJA.…”

Section: Specialized Centers and Case Volumementioning

confidence: 99%

“…The prevalence of culture-negative PJI was also found to be much higher when surgical intervention is attempted prior to referral to a tertiary care center, making management much more difficult [19]. Furthermore, patients with a history of prior treatment failure for PJI have been found to undergo less salvage procedures when treated at a high volume center as well, offering a possible prevention strategy for this circumstance [5,6,11].…”

Section: Who Should Be Treated At a General Hospital? Who Should Be Rmentioning

confidence: 99%

“…Various treatment strategies must be personalized on an individualized basis, and adjusted throughout the period of care in order to offer the best outcome possible. The decision to perform a single stage vs two stage revision, which antibiotic should be used and for how long it should be used for, how to medically optimize patients preoperatively, and whether or not to progress to a salvage procedure such as arthrodesis or amputation are just a few of the clinical decisions that need to be made on a multi-disciplinary level, led by an orthopedic surgeon with experience in treating PJI [5,6].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Who Should Manage Periprosthetic Joint Infection? The Case for a Multidisciplinary Approach

Yacovelli

Parvızı

2019

Traumatology and Orthopedics of Russia

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Periprosthetic joint infection (PJI) following total joint arthroplasty (TJA) is a complex disease state that is quite devastating to those affected. Improvement in diagnostic testing modalities and therapeutic techniques have led to significant advances in treatment for patients, but there is still a considerable gap in treatment success across providers and institutions. Where and who should be treating cases of PJI remains a debated topic. Many experts have proposed a new treatment model not dissimilar to that with which has been used to treat other complex disease states such as cancer for decades, and there is now a growing body of evidence to support such a strategy is superior. In this article, we evaluate the current body of literature on the topic and offer recommendations for the ideal treatment model for PJI: the multidisciplinary approach.реферат Перипротезная инфекция (ППИ) после тотального эндопротезирования является сложным заболеванием, разрушительным для организма пациентов. улучшение методов диагностики и лечения привело к значительному прогрессу в лечении этой патологии, но все еще существует значительный разрыв в успехе лечения среди поставщиков и учреждений. где и кто должен лечить пациентов с ППИ остается темой дискуссии. Многие эксперты предлагают новую модель лечения, не отличающуюся от той, которая использовалась в течение десятилетий для лечения других сложных заболеваний, таких как рак, и в настоящее время появляется все больше доказательств того, что такая стратегия является лучшей. В этой статье авторы приводят анализ современной литературы по этой теме и предлагают междисциплинарный подход в качестве идеальной модели лечения ППИ.Ключевые слова: перипротезная инфекция, тотальное эндопротезирование, междисциплинарный поход к лечению.

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Section: Multidisciplinary Approachmentioning

confidence: 99%

Section: Multidisciplinary Approachmentioning

confidence: 99%