中国组织工程研究2018，Vol.22Issue(11)：1781-1785,5.DOI:10.3969/j.issn.2095-4344.0179
关节置换前无症状菌尿
Asymptomatic bacteriuria before arthroplasty
摘要
Abstract
BACKGROUND: Hematogenous spread of urinary tract infection is one of the causes of infection after arthroplasty. The significance of a special portion of urinary tract infection, namely asymptomatic bacteriuria in arthroplasty is little reported. OBJECTIVE: To explore the correlation of preoperative asymptomatic bacteriuria and infection after arthroplasty and evaluate the benefits of screening and treating asymptomatic bacteriuria. METHODS: The researchers searched PubMed, Embase, the Cochrane Library and CNKI databases to collect the clinical studies on asymptomatic bacteriuria before arthroplasty. Then, data extraction, quality assessment of the literature, and result analysis were conducted. RESULTS AND CONCLUSION: Finally, seven eligible articles were included. (1) Preoperative asymptomatic bacteriuria is significantly associated with the occurrence of postoperative prosthetic infection, but it is not a causal relationship. (2) Patients with asymptomatic bacteriuria have a high rate of superficial wound infection but no evidence shows that urinary infection is the direct source of contamination. (3) Asymptomatic bacteriuria is an indicator of increased susceptibility to infection after arthroplasty. (4) Treating asymptomatic bacteriuria before arthroplasty cannot decrease the incidence of various postoperative infectious complications. (5) Current clinical evidence does not support the routine screening and treatment of asymptomatic bacteriuria before arthroplasty.关键词
无症状菌尿/骨科植入物/人工假体/关节置换/国家自然科学基金Key words
Arthroplasty/Replacement/Prosthesis Implantation/Bacteriuria/Tissue Engineering分类
医药卫生引用本文复制引用
张庆宇,高福强,孙伟..关节置换前无症状菌尿[J].中国组织工程研究,2018,22(11):1781-1785,5.基金项目
国家自然科学基金面上项目(81372013,81672336) the General Project of National Natural Science Foundation of China,No.81372013 and 81672336 （81372013,81672336）
