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Revue médicale suisse · Dec 2016
[Prevention of perioperative infections in orthopaedic surgery - Role of general practitioner].
- Olivier Borens, Éric Thein, Christophe Tissot, and Anne-Sophie Brunel.
- Service d'orthopédie et de traumatologie de l'appareil locomoteur, Département de l'appareil locomoteur, CHUV, 1011 Lausanne.
- Rev Med Suisse. 2016 Dec 14; 12 (543): 2164-2167.
AbstractTotal joint replacement comes with a high success rate and has been shown to have a very positive impact on our patients suffering from arthritis. Against all efforts about 2 % of our patients will suffer an implant related infection. As the treatment of infected arthroplasties is difficult and expensive the knowledge of risk factors is becoming more and more important for the treatment team in order to improve our preventive measures. Prevention must be performed pre-, intra- and postoperatively. Preoperative optimization of blood sugar levels, nutritional status and correction of general anaemia for example are paramount and the general practitioner as well as the surgeon should be aware of these and other modifiable risk factors in order to operate on the patient in the best possible conditions.
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