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Handläggning av infektioner vid ortopediska implantat en utmaning för vården [Treatment of orthopedic implant-associated infections]
Örebro University, School of Medical Sciences. Centrum för klinisk forskning, Region Värmland, Sverige; Infektionskliniken, Karlstad, Sverige.
Avdelningen för infektionsmedicin, Lunds universitet, Lund, Sverige.
Infektionskliniken, Region Östergötland, Sverige; Vrinnevisjukhuset, Norrköping, Sverige.
Infektionskliniken, Helsingborgs sjukhus, Helsingborg, Sverige.
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2019 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 116, no 43, article id FR6CArticle, review/survey (Refereed) Published
Abstract [en]

The Swedish National Guidelines for Bone and Joint Infections were revised during 2018. The work was carried out on behalf of the Swedish Society for Infectious Diseases. The study group consists of senior consultants in infectious diseases, supported by specialists in orthopedic surgery, clinical microbiology and allergology when needed. The study group emphasizes that implant associated infections are challenging and requires multidisciplinary cooperation, including, but not limited to, specialists in orthopedic surgery, infectious diseases, clinical microbiology and radiology for optimal treatment results. All aspects of the clinical management are equally important; selecting the optimal antibiotic prophylaxis in arthroplasty as well as fracture surgery, early diagnosis of infection, adequate treatment, follow-up, and finally a structured evaluation of outcome. Profound and updated knowledge of treatment of biofilm related infection is necessary to achieve optimal results in patients with implant-associated infections. Future challenges include improved decision support for combining surgical treatment with selection of proper antibiotics, as well as management of antibiotic resistance, drug-drug interactions and adverse effects of antibiotic treatment.

Place, publisher, year, edition, pages
Läkartidningen Förlag AB , 2019. Vol. 116, no 43, article id FR6C
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Infectious Medicine
Identifiers
URN: urn:nbn:se:oru:diva-77620PubMedID: 31638706OAI: oai:DiVA.org:oru-77620DiVA, id: diva2:1365522
Available from: 2019-10-25 Created: 2019-10-25 Last updated: 2019-10-25Bibliographically approved

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Tevell, StaffanSöderquist, Bo

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