Abstract:
BACKGROUND AND OBJECTIVE:The suitable antibiotic(s) and duration of treatment for hip prosthesis acute infections (HPAIs) has not been clearly defined. PATIENTS AND METHOD:We studied 32 patients whose HPAI was diagnosed within 2 months after surgery. All patients underwent debridement and samples were taken for culture purposes. Antibiotics were started and adjusted to the antibiogram. Ambulatory follow-up controls were carried out for more than 18 months after treatment had finished. RESULTS:There were 16 cases of staphylococcal infection while it was streptococcal in 2 cases, enterococcal in 6 and due to gram-negative bacillus in 6 patients. In 2 patients, the causal microorganism could not be identified. Patients with an infection due to gram-positive cocci (other than enterococci) were administered an association of antibiotics including rifampicin for a mean 2.7 months period. Outcome was favorable in 100% valuable cases, after a mean follow-up of 20.7 months. Patients with enterococcal infections were treated with a glycopeptide or beta-lactams for a mean of 2.6 months; all them had a unfavorable outcome. Out of 6 infections due to gram-negative bacilli, 2 valuable cases had a favorable evolution. CONCLUSIONS:HPAIs due to Staphylococcus sp. or Streptococcus sp. can be successfully treated by means of surgical debridement plus an antibiotic scheme that includes rifampicin for a maximum period of 3 months. It is necessary to analyze the effectiveness of new antibiotics or antibiotic associations in cases of enterococcal infections.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Soriano A,García S,Ortega M,Almela M,Gallart X,Vila J,Sierra J,Tomas X,Martínez JA,Mensa Jdoi
10.1016/s0025-7753(03)73863-9keywords:
subject
Has Abstractpub_date
2003-06-21 00:00:00pages
81-5issue
3eissn
0025-7753issn
1578-8989pii
S0025-7753(03)73863-9journal_volume
121pub_type
杂志文章相关文献
MEDICINA CLINICA文献大全abstract:BACKGROUND:The generation of the use of informed consent forms makes necessary to grant their legibility for patients. Up to now, we didn't have in Spain a suitable yardstick for evaluating the reading levels. METHODS:A sample of 10 texts of diverse procedence, 8 journals and 16 informed consent forms were collected. ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1996-10-26 00:00:00
abstract:BACKGROUND:The values of the squamous cell carcinoma (SCC) antigen in benign diseases were studied with the aim of determining false positive values in the study of epidermoid carcinomas. METHODS:Serum determinations of the SCC antigen were performed by radioimmunoanalysis with the Abbott SCC-RIA kit. The control grou...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1996-02-17 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The pprevalence of extended-spectrum beta-lactamase (ESBL) producing gram-negative bacilli has increased in recent years. The aim of this study is to estimate the prevalence of infection/colonization due to theses microorganisms per 100 admissions and its trend during the period 2007-2010. PAT...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2012.03.034
更新日期:2013-07-07 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The aim of our study was to identify the rate of diabetic patients treated for hypothyroidism and compare them with a group without type 2 diabetes mellitus (T2DM). PATIENTS AND METHODS:We reviewed the computerized clinical records of 5161 patients. We identified diabetic patients treated with...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2011.08.009
更新日期:2012-04-28 00:00:00
abstract:BACKGROUND:Human immunodeficiency virus (HIV) increases the risk for anal premalignant lesions associated to human papillomavirus infection (HPV). The aim of this study was to compare the prevalence of HPV and squamous intraepithelial lesions (SIL) in patients with anal warts, with and without anti-HIV antibodies. PAT...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1999-06-12 00:00:00
abstract:BACKGROUND:To study the clinical activity of systemic lupus erythematosus (SLE) in recipients of renal transplants (rT) performed by terminal renal failure (TRF) secondary to lupus nephritis. METHODS:The clinical evolution of 11 patients with SLE (ARA criteria) and TRF were evaluated with a descriptive character by th...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1994-02-26 00:00:00
abstract:BACKGROUND:Description of measures of secondary prevention and of health related quality of life one year after the intervention in patients undergoing coronary artery bypass surgery. PATIENTS AND METHOD:One year follow up prospective study in patients undergoing first coronary bypass surgery without associated proced...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(01)71785-x
更新日期:2001-02-24 00:00:00
abstract:BACKGROUND AND OBJECTIVE:This study was aimed to verify whether it is possible to detect at hospital admission, by means of INTERMED, pneumonology patients at risk of "complexity" and of specialized psychosocial intervention. PATIENTS AND METHOD:With the Spanish version of INTERMED (for detection of risk for complexit...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(08)75487-3
更新日期:2008-11-29 00:00:00
abstract::Multiple sclerosis occurs in genetically susceptible individuals, in whom an unknown environmental factor triggers an immune response, giving rise to a chronic and disabling autoimmune disease. Currently, significant progress is being made in our knowledge of the frequency and distribution of multiple sclerosis and it...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/S0025-7753(15)30010-5
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Lateral chest X-rays may be helpful in the early detection of osteoporotic patients. We studied the proportion of chest X-ray reports in which the radiologist highlighted the presence of vertebral osteoporotic signs, as well as the proportion of patients with such records who were further studied by their ph...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(01)72241-5
更新日期:2001-12-08 00:00:00
abstract::Patients with inflammatory bowel disease constitute a population with a special predisposition to develop bacterial, viral and fungal infections. Iatrogenic immunosuppression, frequent contact with healthcare facilities and surgical interventions are some of the risk factors that explain why these infections are one o...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1016/j.medcli.2016.12.041
更新日期:2017-05-10 00:00:00
abstract::It is the aim of this manuscript to take into account the peculiarities and specific characteristics of elderly patients with chronic ischaemic heart disease from a multidisciplinary perspective, with the participation of the Spanish Society of Cardiology (sections of Geriatric Cardiology and Ischaemic Heart Disease/A...
journal_title:Medicina clinica
pub_type: 共识发展会议,杂志文章,实务指引
doi:10.1016/j.medcli.2016.01.014
更新日期:2016-04-15 00:00:00
abstract:BACKGROUND AND OBJECTIVE:To analyze the serum levels of immunoglobulin G (IgG) subclasses in a broad range of elderly patients with bronchiectasis. PATIENTS AND METHOD:Data were collected from all patients who had a high-resolution chest computerized axial tomography diagnosis of bronchiectasis in our center. We gathe...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1157/13111419
更新日期:2007-10-20 00:00:00
abstract::Tumor necrosis factor (TNF) alpha plays a central role in both the inflammatory response and that of the immune system. Thus, its blockade with the so-called anti-TNF agents (infliximab, etanercept and adalimumab) represents an important tool for the management of a variety of disorders, such as rheumatoid arthritis, ...
journal_title:Medicina clinica
pub_type: 杂志文章,评审
doi:10.1157/13126958
更新日期:2008-10-11 00:00:00
abstract::We report 3 patients with chronic myeloproliferative syndromes and active tuberculous infection. The first patient had chronic myelocytic leukemia. In this patient, primary tuberculosis was localized in the lung. In spite of tuberculostatic treatment, he developed laterocervical lymphadenopathy and a tuberculous absce...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1990-04-21 00:00:00
abstract::The handling of patients with cerebral ischemia is reviewed, taking into consideration recent concepts regarding etiopathogenesis along with new diagnostic and therapeutic methods. A particularly important new diagnostic method is computerized axial tomography. The subject is divided into four sections in order to pre...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1979-05-25 00:00:00
abstract:BACKGROUND:Whether or not performing cardiopulmonary resuscitation (CPR) is a complex decision that requires taking account of several factors. The aim of this study was to analyse the preferences of elderly people with regard to CPR. SUBJECTS AND METHOD:Survey administered to 181 elderly subjects from nursing homes a...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(02)72296-3
更新日期:2002-02-02 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Familial adenomatous polyposis is an inherited disorder characterized by the presence of multiple colorectal adenomas (more than 100 in the classic form and between 10 and 100 in the attenuated one), with a high risk of colorectal cancer development. To improve the diagnostic and therapeutic m...
journal_title:Medicina clinica
pub_type: 杂志文章,多中心研究
doi:10.1016/j.medcli.2009.09.054
更新日期:2010-06-19 00:00:00
abstract:BACKGROUND:The aim of the present study was to validate the SpaceLabs 90207 apparatus used in non-invasive outpatient monitoring of blood pressure. METHODS:The measurements of blood pressure (BP) and cardiac frequency (CF) obtained with the SpaceLabs monitor were compared with those obtained with a mercury sphygmomano...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1994-09-24 00:00:00
abstract::Hepatocellular carcinoma (HCC) is the most common primary liver neoplasm and one of the most common causes of death in patients with cirrhosis of the liver. In parallel, with recognition of the clinical relevance of this cancer, major new developments have recently appeared in its diagnosis, prognostic assessment and ...
journal_title:Medicina clinica
pub_type: 实务指引
doi:10.1016/j.medcli.2020.09.022
更新日期:2021-01-15 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Twin and family studies support large genetic influences on variability in body mass index (BMI), with heritability estimates ranging from 47% to over 90%. Our objective was to study the relative contributions of genetics and environment to BMI, evaluating sex differences, in an adolescent twin...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2014.05.039
更新日期:2015-08-21 00:00:00
abstract::Epstein-Barr virus (EBV) infection is ubiquitous and may result in multiple and widely different clinical features; the most common of these is infectious mononucleosis (IM). Recently, a group of patients has been included in the chronic EBV infection syndrome (EBVIS), with a sustained nonspecific syndrome consisting ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1989-04-29 00:00:00
abstract::Highly malignant non-Hodgkin lymphomas (HM-NHL) may sometimes develop clinical features simulating an epithelial carcinoma with metastatic dissemination. Conventional histopathological study may be insufficient to differentiate between both conditions. Two patients with HM-NHL are reported with a rapid general deterio...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1989-03-11 00:00:00
abstract:BACKGROUND:Due to the double atherogenic and antifibrinolytic action of lipoprotein (a) (Lp [a]) and its predictive value of cardiovascular disease in hypercholesterolemic patients, we document in the present work the changes in Lp (a) levels of a patient with homozygous familial hypercholesterolemia after one year of ...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1992-10-31 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Left ventricular hypertrophy (LVH) is the most frequent manifestation of cardiac damage in hypertension. The objective of this study was to evaluate the prevalence of LVH in hypertensive patients of long evolution at Primary Care (PC) and to describe their epidemiological profile. PATIENTS AND...
journal_title:Medicina clinica
pub_type: 杂志文章,多中心研究
doi:10.1157/13106936
更新日期:2007-06-09 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The correct management of patients with chronic renal disease depends on an early diagnosis. The aim of this study was to evaluate the usefulness, in the daily clinical practice, of the weight/creatinine formula as an indirect measurement of glomerular filtration. PATIENTS AND METHOD:1,025 amb...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/s0025-7753(03)73751-8
更新日期:2003-04-12 00:00:00
abstract:OBJECTIVE:To determine if a more simplified medication regimen is associated with survival in polypathological patients. METHODS:Multicentre cohort study. We included polypathological patients admitted to internal medicine wards between March 1st and June 30rd, 2011. Patients that died during admission and readmission...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:10.1016/j.medcli.2019.06.023
更新日期:2020-04-10 00:00:00
abstract:INTRODUCTION:a description of infective left endocarditis at the turn of the millennium. METHOD:A multicentre prospective study into the left endocarditis using data collected from the Andalusian cohort for the study of cardiovascular infections during 1984-2014. RESULTS:Of the 1,604 endocarditis cases collected, 382...
journal_title:Medicina clinica
pub_type: 杂志文章,多中心研究
doi:10.1016/j.medcli.2018.04.018
更新日期:2019-07-19 00:00:00
abstract::Renal complications in Waldenström's macroglobulinemia (WM) are infrequent and are characterized by the presence of PAS positive amorphous hyaline deposits in the capillary lumen, infiltrated with lymphoplasmatic cells with PAS positive inclusions in the interstices and intratubular hyaline cylinders. Membranous glome...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1991-10-26 00:00:00
abstract:BACKGROUND:The annual consumption and costs of the health care resources used by ambulatory Alzheimer's disease patients were estimated. Patients were classified according to the degree of severity of the disease using Folstein's Mini Mental State Examination scale. The sociodemographic characteristics of both patients...
journal_title:Medicina clinica
pub_type: 杂志文章
doi:
更新日期:1999-11-27 00:00:00