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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2013, Número S1

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Acta Ortop Mex 2013; 27 (S1)


Diagnóstico de infección articular periprotésica

Idioma: Español
Referencias bibliográficas: 109
Paginas: 99-108
Archivo PDF: 185.99 Kb.


FRAGMENTO

Pregunta 1A: ¿Cuál es la definición de infección articular periprotésica (IAP)?

Consenso: La IAP se define como:

• Dos cultivos periprotésicos positivos con microorganismos fenotípicamente idénticos
• Una fístula que se comunique con la articulación
• Tener tres de los siguientes criterios menores:

— Proteína C reactiva sérica (PCR) y velocidad de sedimentación globular (VSG) elevadas.
— Cuenta elevada de glóbulos blancos (CGB) o una prueba positiva (++) en una tira de esterasa leucocitaria, hechos en líquido sinovial.
— Un elevado porcentaje de neutrófilos polimorfonucleares en el líquido sinovial (PMN %).
— Análisis histológico positivo en el tejido periprotésico. — Un cultivo positivo.

Votación de delegados: De acuerdo, 85%; en desacuerdo, 13%; abstenciones, 2%. (Consenso fuerte.)


REFERENCIAS (EN ESTE ARTÍCULO)

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