Diagnosis of periprosthetic joint infections in clinical practice

被引:16
作者
Sendi, Parham [1 ,2 ,3 ]
Zimmerli, Werner [1 ]
机构
[1] Univ Basel, Med Clin Liestal, Infect Dis Unit, CH-4410 Liestal, Switzerland
[2] Univ Hosp Bern, Univ Clin Infect Dis, CH-3010 Bern, Switzerland
[3] Univ Bern, Inst Infect Dis, Bern, Switzerland
关键词
Periprosthetic joint infection; Sonication prosthesis; Infection diagnosis; ERYTHROCYTE SEDIMENTATION-RATE; C-REACTIVE PROTEIN; SYNOVIAL-FLUID; TOTAL HIP; SERUM PROCALCITONIN; METAL ALLERGY; FDG-PET; SONICATION; PCR; DIFFERENTIATION;
D O I
10.5301/ijao.5000150
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
The diagnosis of a periprosthetic joint infection (PJI) can be challenging, either because of the variable clinical presentation or because of previous antimicrobial treatment interfering with the detection of the pathogen. In recent years, various means to diagnose PJI have been analyzed. These include invasive and non-invasive laboratory tests, imaging procedures, and novel techniques such as sonication of implants and the use of molecular microbiology. In this review, both established and novel diagnostic procedures are presented. An algorithm for detecting PJI in patients with acute and chronic symptoms is proposed.
引用
收藏
页码:913 / 922
页数:10
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