rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.14412/1995-4484-2017-192-200rsp-2363Research ArticleПРОГРАММА НЕПРЕРЫВНОГО ПОСЛЕДИПЛОМНОГО ОБРАЗОВАНИЯ ВРАЧЕЙPOSTGRADUATE PROGRAM OF CONTINUING MEDICAL EDUCATIONБактериальный (септический) артрит и инфекция протезированного суставаBACTERIAL (SEPTIC) ARTHRITIS AND PROSTHETIC JOINT INFECTIONБеловБ. С.BelovB. S.

зав. лабораторией изучения роли инфекций при ревматических заболеваниях ФГБНУ НИИР им. В.А. Насоновой, докт. мед. наук

belovbor@yandex.ruМакаровС. А.MakarovS. A.

зав. лабораторией ревмоортопедии и реабилитации ФГБНУ НИИР им. В.А. Насоновой, канд. мед. наук

belovbor@yandex.ruБяликЕ. И.ByalikE. I.

ведущий научный сотрудник лаборатории ревмоортопедии и реабилитации ФГБНУ НИИР им. В.А. Насоновой, докт. мед. наук

belovbor@yandex.ruФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой», МоскваРоссияV.A. Nasonova Research Institute of Rheumatology, MoscowRussian Federation201724042017552192200Copyright © Белов Б.С., Макаров С.А., Бялик Е.И., 20172017Белов Б.С., Макаров С.А., Бялик Е.И.Belov B.S., Makarov S.A., Byalik E.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/2363

В современных условиях проблемы бактериального артрита (БА) и инфекций протезированного сустава (ИПС) являются весьма актуальными. БА и ИПС являются причиной 0,2–0,7% всех госпитализаций в год. Увеличение количества эндопротезирований сопровождается ростом числа больных с перипротезной инфекцией. Частота летальных исходов при БА существенно не изменилась за последние 25 лет и составляет 5–15%. В лекции представлены современные данные об этиологии, патогенезе, клинической картине, диагностике и лечении указанных нозологических форм. Подчеркнуто значение комбинированного подхода к лечению ИПС – сочетания хирургического вмешательства и этиотропной антибактериальной терапии.

 

Bacterial arthritis (BA) and prosthetic joint infection (PJI) are very relevant problems under current conditions. BA and PJI are responsible for 0.2–0.7% of all hospital admissions per year. The increase in the number of endoprosthesis replacements is accompanied by the rising number of patients with periprosthetic infection. The frequency of fatal outcomes in patients with BA and PJI has not changed significantly over the past 25 years and amounts to 5–15%. The lecture gives an update on the etiology, pathogenesis, clinical presentations, diagnosis, and treatment of the above nosological entities. Emphasis is placed on the importance of a comprehensive approach to treating PJI, which involves a combination of surgery and etiotropic antibacterial therapy.

 

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The authors declare that there are no conflicts of interest present.