5. Conclusion
In summary, with the reviewed clinical data of the enrolled cohort
patients, this study proposes a staging system to stratify the treatment
of SFI, which may optimize individual treatment strategies and reduce
hospitalization and cost for all patients. The bacterial etiological
analysis reveals that the presence of bacterial biofilm contributes to
the recurrent CI infections, which can be cured by re-implantation.
Given the large cohort of CI patients and infectious risk factors
analyzed, younger patients with CI surgery are at a high risk of
refractory repeated infection, indicating that additional efficient
follow-up strategies should be implemented for the underaged.