Épidémiologie et écologie des infections ostéoarticulaires bactériennes

Jean-Guillaume Letarouilly , Alice Clowez , Eric Senneville , Bernard Cortet , René-Marc Flipo
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Abstract

Septic arthritis and infectious spondylodiscitis are a classic cause of hospital admission in rheumatology, orthopedics or infectious diseases departments with a high morbimortality. Their incidence is increasing as well as the number of patients with comorbidities such as diabetes. There has not been much change in ecology over the past thirty years with a predominance of staphylococci and streptococci. The association with endocarditis remains classic, especially for staphylococcal and streptococcal infections. The search for microbiological documentation is therefore fundamental to treat the patients with the appropriate antibiotic therapy to limit the morbidity of these osteoarticular infections.

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细菌性骨关节感染的流行病学和生态学
脓毒性关节炎和感染性脊柱炎是风湿病科、骨科或传染病科住院的典型原因,具有很高的致死率。它们的发病率正在增加,同时伴有合并症(如糖尿病)的患者数量也在增加。在过去的三十年里,生态没有太大的变化,葡萄球菌和链球菌占主导地位。与心内膜炎的关联仍然是经典的,特别是葡萄球菌和链球菌感染。因此,寻找微生物文献对于用适当的抗生素治疗患者以限制这些骨关节感染的发病率至关重要。
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