ArticleBioMed research international2018
The Preoperative Microbial Detection is No Prerequisite for the Indication of Septic Revision in Cases of Suspected Periprosthetic Joint Infection.
Article in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Best microbiological practice recommendations for the diagnosis of peri-prosthetic joint infections: the CRIOGO bacteriology reference center network.Annals of clinical microbiology and antimicrobials · 2025Pooled it
- Article
- Low accuracy in preoperative tissue biopsies for diagnosing chronic periprosthetic joint infection: an observational retrospective single-centre study.The Journal of international medical research · 2023Observational
- Evaluation and interpretation of prosthetic joint infection diagnostic investigations.International orthopaedics · 2021Review
- Failure analysis of infection persistence after septic revision surgery: a checklist algorithm for risk factors in knee and hip arthroplasty.Archives of orthopaedic and trauma surgery · 2021Article
- Invited reply to the letter to the editor by McNally et al., 2021.BMC musculoskeletal disorders · 2021Article
- Diagnosis of Chronic Infection at Total Hip Arthroplasty Revision Is a Question of Definition.BioMed research international · 2021Article
- Implications for diagnosis and treatment of peri-spinal implant infections from experiences in periprosthetic joint infections-a literature comparison and review.Journal of spine surgery (Hong Kong) · 2020Review
- Fungal Periprosthetic Knee Joint Infection in a Patient with Metamizole-Induced Agranulocytosis.Arthroplasty today · 2020Article
- Twenty common errors in the diagnosis and treatment of periprosthetic joint infection.International orthopaedics · 2020Review
- Periprosthetic joint infection: current concepts and outlook.EFORT open reviews · 2019Review
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aim of this studyPeriprosthetic joint infections (PJIs) require a special antimicrobial regimen, fundamentally different from an aseptic treatment, making a correct preoperative diagnosis essential. However, a successful preoperative microbe detection is not always possible. We wanted to find out
methodsWe included all first-line two-stage hip (49) and knee (47) revisions, performed in our department from 06/2013 on, with an available 2-year follow-up. A PJI was defined as one of the following four criteria: fistula or purulence, Krenn Morawietz type 2 or 3, joint aspirate > 2000/
results
conclusionHigh rates of intraoperatively fulfilled EBJIS PJI criteria show that a preoperative microbe detection is not necessary before intervening in suspected PJIs. The indication for a septic revision can solely be based on (para)clinical signs. The new established diagnostic algorithm based on a multifactorial PJI definition showed high precision in finding PJIs.
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