Prosthetic Joint Infection

IDSA Prosthetic Joint Infection

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Figure 1. Preoperative and Intraoperative Diagnosis of PJI •  Sinus tract or persistent wound drainage •  Acute onset of prosthesis pain •  Chronic painful prosthesis Orthopedic referral •  History and physical exam •  Plain film of prosthesis •  Sedimentation rate and CRP •  Blood culturesa Infection suspected Arthrocentesis •  Cell count •  Differential •  Aerobic and anaerobic culture Infection suspected or confirmed and surgery planned No infection suspected STOP No infection suspected STOP •  Intraoperative inspectiona •  Histopathology •  3 to six cultures OR ultrasonicate of prosthesisa a See full text guidelines for details, definitions 3

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