Current recommendations for the diagnosis of acute and chronic PJI for hip and knee—cell counts, alpha-defensin, leukocyte esterase, next-generation sequencing

K Goswami, J Parvizi, P Maxwell Courtney - Current reviews in …, 2018 - Springer
Abstract Purpose of Review Despite significant progress in recent years, the diagnosis of
periprosthetic joint infection (PJI) remains a challenge and no gold standard test exists. A …

Culture-negative periprosthetic joint infection: prevalence, aetiology, evaluation, recommendations, and treatment

I Kalbian, JW Park, K Goswami, YK Lee… - International …, 2020 - Springer
Purpose Periprosthetic joint infection (PJI) is a catastrophic complication after total joint
arthroplasty (TJA). Treatment of PJI is challenging, especially when causative …

Culture-negative periprosthetic joint infection: an update on what to expect

TL Tan, MM Kheir, N Shohat, DD Tan, M Kheir… - JBJS Open …, 2018 - journals.lww.com
Background: Culture-negative periprosthetic joint infection (PJI) is a challenging condition to
treat. The most appropriate management of culture-negative PJI is not known, and there is …

Diagnosis and treatment of culture-negative periprosthetic joint infection

GS Goh, J Parvizi - The Journal of Arthroplasty, 2022 - Elsevier
Identification of the causative organism (s) in periprosthetic joint infection (PJI) is a
challenging task. The shortcomings of traditional cultures have been emphasized in recent …

Next generation sequencing for pathogen detection in periprosthetic joint infections

PF Indelli, S Ghirardelli, B Violante… - EFORT Open …, 2021 - eor.bioscientifica.com
Periprosthetic joint infections (PJI) represent one of the most catastrophic complications
following total joint arthroplasty (TJA). The lack of standardized diagnostic tests and …

Next-generation sequencing supports targeted antibiotic treatment for culture negative orthopedic infections

R Kullar, E Chisari, J Snyder, C Cooper… - Clinical Infectious …, 2023 - academic.oup.com
The isolation of an infective pathogen can be challenging in some patients with active,
clinically apparent infectious diseases. Despite efforts in the microbiology lab to improve the …

Time to positivity of cultures obtained for periprosthetic joint infection

S Tarabichi, GS Goh, L Zanna, QS Qadiri, CM Baker… - JBJS, 2023 - journals.lww.com
Background: Despite its well-established limitations, culture remains the gold standard for
microbial identification in periprosthetic joint infection (PJI). However, there are no …

Routine diagnostic tests for periprosthetic joint infection demonstrate a high false-negative rate and are influenced by the infecting organism

MM Kheir, TL Tan, N Shohat, C Foltz, J Parvizi - JBJS, 2018 - journals.lww.com
Background: Current guidelines recommend serum erythrocyte sedimentation rate (ESR)
and C-reactive protein (CRP) as the first-line testing for evaluation of suspected …

Can metagenomic next-generation sequencing identify the pathogens responsible for culture-negative prosthetic joint infection?

C Wang, Z Huang, W Li, X Fang, W Zhang - BMC infectious diseases, 2020 - Springer
Background The aims of this study were to (1) evaluate the efficacy and safety of targeted
antibiotics for the treatment of culture-negative prosthetic joint infection based on …

Hip and knee section, diagnosis, algorithm: proceedings of international consensus on orthopedic infections

MA Karim, J Andrawis, F Bengoa… - The Journal of …, 2019 - arthroplastyjournal.org
Question 1: Do you agree with the American Academy of Orthopaedic Surgeons algorithm
for the diagnosis of periprosthetic joint infections (PJIs)? Recommendation: Yes. However …