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Diagnosis of periprosthetic joint infection
Conference presentation   Peer reviewed

Diagnosis of periprosthetic joint infection

Benjamin Zmistowski, Craig Della Valle, Thomas W Bauer, Konstantinos N Malizos, Abbas Alavi, Hani Bedair, Robert E Booth, Peter Choong, Carl Deirmengian, Garth D Ehrlich, …
The Journal of arthroplasty, v 29(2 Suppl), pp 77-83
Feb 2014
PMID: 24342275

Abstract

Anti-Bacterial Agents - therapeutic use Predictive Value of Tests Humans Microbiological Techniques Prosthesis-Related Infections - diagnosis Prosthesis-Related Infections - drug therapy Algorithms
Consensus: PJI is defined as: ⁎ Two positive periprosthetic cultures with phenotypically identical organisms, or ⁎ A sinus tract communicating with the joint, or ⁎ Having three of the following minor criteria: - Elevated serum C-reactive protein (CRP) AND erythrocyte sedimentation rate (ESR) - Elevated synovial fluid white blood cell (WBC) count OR + +change on leukocyte esterase test strip - Elevated synovial fluid polymorphonuclear neutrophil percentage (PMN%) - Positive histological analysis of periprosthetic tissue - A single positive culture Delegate Vote: Agree: 85%, Disagree: 13%, Abstain: 2% (Strong Consensus)

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