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Title

Value of preoperative investigations in diagnosing prosthetic joint infection: retrospective cohort study and literature review

Authors
Bru, Jean Pierre
Feron, Jean Marc
Peyramond, Dominique
Denormandie, Philippe
Arvieux, Cedric
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Published in Scandinavian Journal of Infectious Diseases. 2004, vol. 36, no. 6-7, p. 410-6
Abstract The diagnosis of a prosthetic joint infection is difficult, but crucial for appropriate treatment. Scintigraphy with specific markers for infection (labelled white cells or immunoglobulin-G) has been reported as a more reliable diagnostic tool than clinical assessment (fever, fistula), laboratory studies (polynuclear neutrophil count, erythrocyte rate sedimentation, and C-reactive protein), and preoperative aspiration. In the first part of this study, we retrospectively reviewed 230 patients admitted with a suspected prosthetic joint infection, and examined the validity of the different diagnostic tools for the group as a whole and for subgroups according to the Coventry classification. In the second part, we reviewed 35 articles about preoperative evaluation of infection in prosthetic joints and compared them to our findings. Our study indicates that C-reactive protein and joint aspiration are the most useful tools to diagnose prosthetic joint infection even in situations of chronic infection (Coventry type II).
Keywords AdultAgedAged, 80 and overBacteria/isolation & purificationBacterial Infections/diagnosis/microbiology/radiographyC-Reactive Protein/analysisCohort StudiesFemaleHip Prosthesis/adverse effects/microbiologyHumansKnee Prosthesis/adverse effects/microbiologyMaleMiddle AgedPredictive Value of TestsPreoperative CareProsthesis-Related Infections/diagnosis/microbiology/radiographyRetrospective StudiesSensitivity and SpecificitySuction
Identifiers
PMID: 15307559
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Structures
Research group Chirurgie orthopédique et traumatologique (98)
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BERNARD, Louis et al. Value of preoperative investigations in diagnosing prosthetic joint infection: retrospective cohort study and literature review. In: Scandinavian Journal of Infectious Diseases, 2004, vol. 36, n° 6-7, p. 410-6. https://archive-ouverte.unige.ch/unige:40973

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Deposited on : 2014-10-17

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