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Native joint infections in Iceland 2003–2017: an increase in postarthroscopic infections
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  • Published on:
    Correspondence on “Native joint infections in Iceland 2003-2017: an increase in postarthroscopic infections” by Gunnlaugsdóttir et al
    • Changqi Luo, Orthopedic Surgeon The Second People's Hospital of Yibin
    • Other Contributors:
      • Pan Wang, Orthopedic Surgeon
      • Cheng Nie, Orthopedic Surgeon

    Correspondence on “Native joint infections in Iceland 2003-2017: an increase in postarthroscopic infections” by Gunnlaugsdóttir et al
    Similar to the periprosthetic joint infections, the diagnosis and treatment of native joint infections (NJIs) is also challenging. If not promptly recognized and adequately treated, NJIs can lead to devastating consequences, such as threatening septicemia and loss of joint function.1 The incidence of NJIs seems to be increasing but remains rare.2,3 Therefore, few studies investigated the epidemiology, clinical risk factors, and outcomes of NJIs, and a nationwide study would provide the best attainable level of evidence on this issue.2,3 With great interest, we read the article by Gunnlaugsdóttir and colleagues,4 in which they provide epidemiological, clinical, and prognostic analysis of patients with culture-proven NJI over a 15-year period. They found that the incidence of NJIs has remained stable in Iceland over the past 15 years, but the proportion of iatrogenic infections is high, especially seen a significant increase of iatrogenic infections following arthroscopic procedures. The authors should be applauded for their tremendous initiative and extensive efforts at illustrating the results. We compliment the authors for their comprehensive nationwide study, while there are a few points that we wish to raise.
    First, as discussed by the authors, when compared with a previous nationwide study covering 1990–2002, there was no sig...

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    Conflict of Interest:
    None declared.