[Antibiotic strategies in trauma surgery : Treatment of implant-associated infections].

Abstract

Implant-associated infections represent a serious complication following fracture management. Due to biofilm formation, an optimized treatment strategy is required to treat these infections. Interdisciplinary cooperation between trauma surgeon, infectious diseases specialist and microbiologist enables the deployment of a concerted surgical and antibiotic treatment concept, which significantly influences treatment success. Fracture healing and chronic osteomyelitis prevention are the primary treatment goals. In general, the eradication of infection is possible with surgical debridement, change or removal of the implant and adequate antibiotic therapy. In some cases, suppressive therapy until consolidation of fracture and later removal of the implant is an option.

• Authors: Susanne Feihl, Nora Renz, Michael Schütz, Michael Müller
• Journal: Der Unfallchirurg (Unfallchirurg) Vol. 120 Issue 6 Pg. 486-493 (Jun 2017) ISSN: 1433-044X [Electronic] Germany
• Vernacular Title: Antiinfektiöse Strategien in der Unfallchirurgie : Therapie osteosyntheseassoziierter Infektionen.
• PMID: 28573555 (Publication Type: Journal Article, Review)

Chemical References

• Anti-Bacterial Agents

Topics

• Anti-Bacterial Agents (administration & dosage)
• Antibiotic Prophylaxis (methods)
• Combined Modality Therapy (methods)
• Debridement (methods)
• Evidence-Based Medicine
• Fracture Fixation, Internal (adverse effects, instrumentation)
• Humans
• Prosthesis-Related Infections (etiology, therapy)
• Treatment Outcome