Diagnosis of periprosthetic joint infections of the hip and knee

Craig Delia Valle, Javad Parvizi, Thomas W. Bauer, Paul E. DiCesare, Richard Parker Evans, John Segreti, Mark Spangehl, William C. Walters, Michael Keith, Charles M. Turkelson, Janet L. Wies, Patrick Sluka, Kristin Hitchcock

Research output: Contribution to journalArticle

165 Citations (Scopus)

Abstract

No preferred test for diagnosis of periprosthetic joint infection exists, and the algorithm for the workup of patients suspected of infection remains unclear. The work group evaluated the available literature to determine the role of each diagnostic modality and devise a practical algorithm that allows physicians to reach diagnosis of periprosthetic joint infection. Ten of the 15 recommendations have strong or moderate evidence in support. These include matters involving erythrocyte sedimentation rate and C-reactive protein level testing, knee and hip aspiration, and stopping the use of antibiotics prior to obtaining intra-articular cultures. The group recommends against the use of intraoperative Gram stain but does recommend the use of frozen sections of periimplant tissues in reoperation patients in whom infection has not been established, as well as multiple cultures in reoperation patients being assessed for infection. The group recommends against initiating antibiotic treatment in patients with suspected infection until after joint cultures have been obtained, but recommends that prophylactic preoperative antibiotics not be withheld in patients at lower probability for infection. copyright 2010 by the Amencan Academy of Orthopaedic Surgeons.

Original languageEnglish (US)
Pages (from-to)760-770
Number of pages11
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume18
Issue number12
StatePublished - Dec 2010

Fingerprint

Hip Joint
Knee Joint
Infection
Joints
Anti-Bacterial Agents
Reoperation
Blood Sedimentation
Frozen Sections
C-Reactive Protein
Hip
Knee
Physicians

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Valle, C. D., Parvizi, J., Bauer, T. W., DiCesare, P. E., Evans, R. P., Segreti, J., ... Hitchcock, K. (2010). Diagnosis of periprosthetic joint infections of the hip and knee. Journal of the American Academy of Orthopaedic Surgeons, 18(12), 760-770.

Diagnosis of periprosthetic joint infections of the hip and knee. / Valle, Craig Delia; Parvizi, Javad; Bauer, Thomas W.; DiCesare, Paul E.; Evans, Richard Parker; Segreti, John; Spangehl, Mark; Walters, William C.; Keith, Michael; Turkelson, Charles M.; Wies, Janet L.; Sluka, Patrick; Hitchcock, Kristin.

In: Journal of the American Academy of Orthopaedic Surgeons, Vol. 18, No. 12, 12.2010, p. 760-770.

Research output: Contribution to journalArticle

Valle, CD, Parvizi, J, Bauer, TW, DiCesare, PE, Evans, RP, Segreti, J, Spangehl, M, Walters, WC, Keith, M, Turkelson, CM, Wies, JL, Sluka, P & Hitchcock, K 2010, 'Diagnosis of periprosthetic joint infections of the hip and knee', Journal of the American Academy of Orthopaedic Surgeons, vol. 18, no. 12, pp. 760-770.
Valle CD, Parvizi J, Bauer TW, DiCesare PE, Evans RP, Segreti J et al. Diagnosis of periprosthetic joint infections of the hip and knee. Journal of the American Academy of Orthopaedic Surgeons. 2010 Dec;18(12):760-770.
Valle, Craig Delia ; Parvizi, Javad ; Bauer, Thomas W. ; DiCesare, Paul E. ; Evans, Richard Parker ; Segreti, John ; Spangehl, Mark ; Walters, William C. ; Keith, Michael ; Turkelson, Charles M. ; Wies, Janet L. ; Sluka, Patrick ; Hitchcock, Kristin. / Diagnosis of periprosthetic joint infections of the hip and knee. In: Journal of the American Academy of Orthopaedic Surgeons. 2010 ; Vol. 18, No. 12. pp. 760-770.
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