Zusammenfassung
Bis in die Mitte des 20. Jahrhunderts war Orthopädie nicht zuletzt die Behandlung der Skelettmanifestationen der Tuberkulose. Durch die Entdeckung der Chemotherapeutika sind die Manifestationen der postprimären Tuberkulose im Bereich des Bewegungsapparates zurückgegangen. Andererseits hat gerade der medizinische Fortschritt neue infektiologische Probleme im Bereich des Skelettsystems aufgeworfen. Angesichts steigender Operationsfrequenzen haben postoperative Infektionen nach wie vor eine erhebliche Bedeutung. Die Besiedelung alloarthroplastischer Materialien mit Biofilm-bildenden Bakterien stellt eine besondere infektiologische Herausforderung dar. Durch teilweise ungezielten Antibiotikaeinsatz werden auch im Skelettbereich zunehmend Problemkeime gefunden. Hinzu kommt die kontinuierlich steigende Nachfrage einer alternden Bevölkerung nach chirurgischer Behandlung des Bewegungsapparates. Die Gesellschaft verlangt nicht zuletzt auch unter Kostenaspekten eine immer weitere Reduktion der Komplikationsraten.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Abschnitt A (2003) Referenzdaten Januar 1997 bis Juni 2003. Modul OP-KISS, 1–22. Nationales Referenzzentrum für Surveillance von nosokomialen Infektionen, Berlin
An YH, Friedman RJ (1996) Prevention of sepsis in total joint arthroplasty. J Hosp Infect 33: 93–108
Beronius M, Bergman B, Andersson R (2001) Vertebral osteomyelitis in Goteborg, Sweden: a retrospective study of patients during 1990–95. Scand J Infect Dis 33: 527–532
Blom AW, Taylor AH, Pattison G, Whitehouse S, Bannister GC (2003) Infection after total hip arthroplasty. The Avon experience. J Bone Joint Surg Br 85: 956–959
Carreno PL (1999) Septic arthritis. Baillieres Best Pract Res Clin Rheumatol 13: 37–58
Coles CP, Gross M (2000) Closed tibial shaft fractures: management and treatment complications. A review of the prospective literature. Can J Surg 43: 256–262
DeLong WG Jr, Born CT, Wei SY, Petrik ME, Ponzio R, Schwab CW (1999) Aggressive treatment of 119 open fracture wounds. J Trauma 46: 1049–1054
Dubost JJ, Soubrier M, De Champs C, Ristori JM, Bussiere JL, Sauvezie B (2002) No changes in the distribution of organisms responsible for septic arthritis over a 20 year period. Ann Rheum Dis 61: 267–269
Flipo RM, Deprez X, Duquesnoy B, Delcambre B (1994) Is spinal tuberculosis back again in developed countries? J Rheumatol 21: 1583–1584
Frisbie JH, Gore RL, Strymish JM, Garshick E (2000) Vertebral osteomyelitis in paraplegia: incidence, risk factors, clinical picture. J Spinal Cord Med 23: 15–22
Gaine WJ, Ramamohan NA, Hussein NA, Hullin MG, McCreath SW (2000) Wound infection in hip and knee arthroplasty. J Bone Joint Surg Br 82: 561–565
Hanssen AD, Rand JA (1999) Evaluation and treatment of infection at the site of a total hip or knee arthroplasty. Instr Course Lect 48: 111–122
Heim D, Strieker U, Negri M (2002) Interdisciplinary complications conference - also a (simple) kind of quality assurance. Swiss Surg 8: 243–249
Hervey SL, Purves HR, Guller U, Toth AP, Vail TP, pietrobon, r (2003) provider volume of total knee arthroplasties and patient outcomes in the HCUP-Nationwide Inpatient Sample. J Bone Joint Surg Am 85-A: 1775–1783
Holtom PD, Zamorano D, Patzakis MJ (2002) Osteomyelitis attributable to vancomycin-resistant enterococci. Clin Orthop 403: 38–44
Hopkinson N, Stevenson J, Benjamin S (2001) A case ascertainment study of septic discitis: clinical, microbiological and radiological features. QJM 94: 465–470
Ike RW (1998) Bacterial arthritis. Curr Opin Rheumatol 10: 330–334
Indelli PF, Dillingham M, Fanton G, Schurman DJ (2002) Septic arthritis in postoperative anterior cruciate ligament reconstruction. Clin Orthop (398): 182–188
Kaandorp CJ, Van Schaardenburg D, Krijnen P, Habbema JD, van de Laar MA (1995) Risk factors for septic arthritis in patients with joint disease. A prospective study. Arthritis Rheum 38:1819–1825
Kindsfater K, Jonassen EA (1995) Osteomyelitis in grade II and III open tibia fractures with late debridement. J Orthop Trauma 9:121–127
Lobati F, Herndon B, Bamberger D (2001) Osteomyelitis: etiology, diagnosis, treatment and outcome in a public versus a private institution. Infection 29: 333–336
Mahomed NN, Barrett JA, Katz JN, Phillips CB, Losina E, Lew RA, Guadagnoli E, Harris WH, Poss R, Baron JA (2003) Rates and outcomes of primary and revision total hip replacement in the United States medicare population. J Bone Joint Surg Am 85-A: 27–32
Matava MJ, Evans TA, Wright RW, Shively RA (1998) Septic arthritis of the knee following anterior cruciate ligament reconstruction: results of a survey of sports medicine fellowship directors. Arthroscopy 14: 717–725
Mohr VD, Bauer J, Döbler K, Fischer B, Döbler C (2003) Qualität sichtbar machen. BQS-Qua-litätsreport 2002. Bundesgeschäftsstelle Qualitätssicherung gGmbH, Düsseldorf, S 1–273
Morgan DS, Fisher D, Merianos A, Currie BJ (1996) An 18 year clinical review of septic arthritis from tropical Australia. Epidemiol Infect 117: 423–428
Nasser S (1994) The incidence of sepsis after total hip replacement arthroplasty. Semin Arthroplasty 5: 153–159
Newman LG, Waller J, Palestro CJ, Schwartz M, Klein MJ, Hermann G, Harrington E, Harrington M, Roman SH, Stagnaro-Green A (1991) Unsuspected osteomyelitis in diabetic foot ulcers. Diagnosis and monitoring by leukocyte scanning with indium in 111 oxyquinoline. JAMA 266: 1246–1251
Ostermann PA, Seligson D, Henry SL (1995) Local antibiotic therapy for severe open fractures. A review of 1085 consecutive cases. J Bone Joint Surg Br 77: 93–97
Peersman G, Laskin R, Davis J, Peterson M (2001) Infection in total knee replacement: a retrospective review of 6489 total knee replacements. Clin Orthop 392: 15–23
Phillips CB, Barrett JA, Losina E, Mahomed NN, Lingard EA, Guadagnoli E, Baron JA, Harris WH, Poss R, Katz JN (2003) Incidence rates of dislocation, pulmonary embolism, and deep infection during the first six months after elective total hip replacement. J Bone Joint Surg Am 85-A: 20–26
Rohde V, Meyer B, Schaller C, Hassler WE (1998) Spondylodiscitis after lumbar discectomy. Incidence and a proposal for prophylaxis. Spine 23: 615–620
Ryan MJ, Kavanagh R, Wall PG, Hazleman BL (1997) Bacterial joint infections in England and Wales: analysis of bacterial isolates over a four year period. Br J Rheumatol 36: 370–373
Saleh K, Olson M, Resig S, Bershadsky B, Kuskowski M, Gioe T, Robinson H, Schmidt R, McEl-fresh E (2002) Predictors of wound infection in hip and knee joint replacement: results from a 20 year surveillance program. J Orthop Res 20: 506–515
Stolke D, Seifert V, Kunz U (1988) Postoperative lumbar intervertebral discitis. A review of a 15-year period and 7,493 operations. Z Orthop 126: 666–670
Weston VC, Jones AC, Bradbury N, Fawthrop F, Doherty M (1999) Clinical features and outcome of septic arthritis in a single UK Health District 1982–1991. Ann Rheum Dis 58: 214–219
Williams RJ, III, Laurencin CT, Warren RF, Speciale AC, Brause BD, O’Brien S (1997) Septic arthritis after arthroscopic anterior cruciate ligament reconstruction. Diagnosis and management. Am J Sports Med 25: 261–267
Wrobel JS, Connolly JE (1998) Making the diagnosis of osteomyelitis. The role of prevalence. J Am Podiatr Med Assoc 88: 337–343
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2004 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Hendrich, C., Walther, M., Frommelt, L. (2004). Epidemiologie. In: Hendrich, C., Frommelt, L., Eulert, J. (eds) Septische Knochen-und Gelenkchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59302-4_1
Download citation
DOI: https://doi.org/10.1007/978-3-642-59302-4_1
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-63928-9
Online ISBN: 978-3-642-59302-4
eBook Packages: Springer Book Archive