Prevention of iatrogenic infections in interventional rheumatology: Optimal measures but adapted to each risk

Yves Maugars (1) , Jean-David Albert (2, 3) , Hervé Bard (4) , Dominique Baron (5) , Jean-Gérard Bloch (6) , Pierre Bourgeois (7) , Grégoire Cormier (8) , Maria-Antonietta D’agostino (9) , Vincent Diebolt (10) , Véronique Dixneuf (11) , Fabien Etchepare (7) , Frederique Gandjbakhch (7) , Philippe Gaudin (12) , Bertrand Lecoq (13) , Henri Lellouche (14) , Pierre Monod (15) , Denis Rolland (16) , Jean-Philippe Sanchez (17) , Benoit Le Goff (11)

1 Service de Rhumatologie
2 Service de rhumatologie [Rennes] = Rheumatology [Rennes]
3 Foie, métabolismes et cancer
4 Hôpital Américain de Paris
5 Centre de rééducation et de réadaptation fonctionnelles [Trestel]
6 CHU Strasbourg
7 Service de Rhumatologie [CHU Pitié Salpêtrière]
8 Centre hospitalier La Roche-Sur-Yon
9 Hôpital Ambroise Paré [AP-HP]
10 UGA UFRM - Université Grenoble Alpes - UFR Médecine
11 Service de rhumatologie [Nantes]
12 Clinique Universitaire de Rhumatologie
13 Service de Rhumatologie [CHU Caen]
14 Hôpital Lariboisière
15 Cabinet de Rhumatologie [ Castelnaudary ]
16 Département de rhumatologie
17 Centre de rhumatologie de Pau [Billère]

Osteoarticular iatrogenic infections may be serious and justify suitable and optimised preventive measures depending on each risk, as much in terms of mortality as of morbidity. Its appreciation has been the subject of more and more studies, which allow the importance of the problem to be better evaluated. The level of iatrogenic infections after arthroscopy is evaluated at 1 to 5‰ on a recent series of knee operations, but they may be much higher for the elbow [1] and [2]. In practice, this examination is no longer used for diagnosis as it was 10 years ago, the progress in imagery means this invasive act is no longer necessary...

Keywords: Recommendation; prevention; Asepsis; Iatrogenic infection; Interventional rheumatology

Domains: Life Sciences [q-bio]; Life Sciences [q-bio]; Human health and pathology

Yves Maugars, Jean-David Albert, Hervé Bard, Dominique Baron, Jean-Gérard Bloch, et al.. Prevention of iatrogenic infections in interventional rheumatology: Optimal measures but adapted to each risk. Joint Bone Spine, 2016, 83 (3), pp.250-253. ⟨10.1016/j.jbspin.2015.07.003⟩. ⟨hal-01217978⟩