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

被引:87
作者
Bernard, L
Lübbeke, A
Stern, R
Bru, JP
Feron, JM
Peyramond, D
Denormandie, P
Arvieux, C
Chirouze, C
Perronne, C
Hoffmeyer, P
机构
[1] Geneva Univ Hosp, Div Infect Dis, CH-1211 Geneva 14, Switzerland
[2] Raymond Poincare Hosp, Garches, France
[3] Annecy Hosp, Annecy, France
[4] Tenon Hosp, Paris, France
[5] Hop Croix Rousse, F-69317 Lyon, France
[6] Pontchallou Hosp, Rennes, France
[7] Besancon Univ Hosp, Besancon, France
关键词
D O I
10.1080/00365540410015240
中图分类号
R51 [传染病];
学科分类号
100401 [流行病与卫生统计学];
摘要
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).
引用
收藏
页码:410 / 416
页数:7
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