The diagnostic protocol for evaluation of periprosthetic joint infection

HIP International

Volumn 22, Issue SUPPL.8, 2012, Pages

  Trebše, Rihard ^a  

^a Orthopaedic Hospital Valdoltra   (Slovenia)

Author keywords

Algorithm; Diagnostic procedures; Total joint arthroplasty infection

Indexed keywords

ALPHA 2 MACROGLOBULIN; BACTERIAL ANTIGEN; BACTERIAL DNA; C REACTIVE PROTEIN; FLUORODEOXYGLUCOSE F 18; GALLIUM 67; IMMUNOGLOBULIN; INTERCELLULAR ADHESION MOLECULE 1; INTERLEUKIN 1BETA; INTERLEUKIN 6; RNA 16S; SOLUBLE INTERCELLULAR ADHESION MOLECULE 1; TUMOR NECROSIS FACTOR ALPHA; UNCLASSIFIED DRUG; VASCULOTROPIN; ANTIINFECTIVE AGENT;

ANTIGEN DETECTION; ARTICLE; ARTROGRAPHY; BACTERIAL GROWTH; BONE SCINTISCANNING; CLINICAL EFFECTIVENESS; CLINICAL FEATURE; CLINICAL PROTOCOL; COMPUTER ASSISTED TOMOGRAPHY; CYTOLOGY; DIAGNOSTIC ACCURACY; DIAGNOSTIC ERROR; DISEASE ASSOCIATION; DISEASE DURATION; DISEASE MARKER; ECHOGRAPHY; ERYTHROCYTE SEDIMENTATION RATE; FISTULOGRAPHY; FROZEN SECTION; GENE IDENTIFICATION; GRAM STAINING; HISTOLOGY; HUMAN; IMAGE ANALYSIS; IMAGE DISPLAY; INFECTION CONTROL; INTRAOPERATIVE PERIOD; JOINT ASPIRATION; JOINT RADIOGRAPHY; LEUKOCYTE COUNT; MICROBIOLOGICAL EXAMINATION; MICROCALORIMETRY; NONHUMAN; NUCLEAR MAGNETIC RESONANCE IMAGING; OUTCOME ASSESSMENT; PATIENT SELECTION; PERIPROSTHETIC JOINT INFECTION; POLYMERASE CHAIN REACTION; POSITRON EMISSION TOMOGRAPHY; PREOPERATIVE EVALUATION; PSEUDOSYNOVIAL CYTOLOGY; RADIOGRAPHY; REOPERATION; SENSITIVITY ANALYSIS; SINUS TRACT SWAB; SYNDROME DELINEATION; ALGORITHM; FEMALE; HIP; HIP ARTHROPLASTY; INFECTION; KNEE; KNEE ARTHROPLASTY; MALE; MICROBIOLOGY; PATHOLOGY; PREOPERATIVE PERIOD; PROSTHESIS FAILURE;

ALGORITHMS; ANTI-BACTERIAL AGENTS; ARTHROPLASTY, REPLACEMENT, HIP; ARTHROPLASTY, REPLACEMENT, KNEE; CLINICAL PROTOCOLS; FEMALE; HIP JOINT; HUMANS; INTRAOPERATIVE PERIOD; KNEE JOINT; MALE; PATIENT SELECTION; PREOPERATIVE PERIOD; PROSTHESIS FAILURE; PROSTHESIS-RELATED INFECTIONS;

EID: 84873732886     PISSN: 11207000     EISSN: None     Source Type: Journal    
DOI: 10.5301/HIP.2012.9567     Document Type: Article

References (83)

1. Cooper JB, Newbower RS, Long CD, McPeek B. Preventable anesthesia mishaps: a study of human factors. Anesthesiology 1978; 49: 399-406.
2. thRovenstine Lecture: 40 years behind the mask safety revisited. Anestesiology 1996; 84: 965-75.
3. Kurtz SM, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007; 89:780-5.
4. Kurtz SM, Ong KL, Lau E, Manley MT. Current and projected utilization of total joint replacement. In: Ducheyne P, Healy K, Hutmacher DW, Grainger DW, Kirkpatrick CJ, eds. Comprehensive Biomaterials. Philadelphia: Elsevier Science 2011; 1-9.
5. Pulido L, Ghanem E, Joshi A, Purtill JJ, Parvizi J. Periprosthetic joint infection: the incidence, timing, and predisposing factors. Clin Orthop Relat Res 2008; 466: 1710-15.
6. Malinzak RA, Ritter MA, Berend ME, Meding JB, Olberding EM, Davis KE. Morbidly obese, diabetic, younger, and unilateral joint arthroplasty patients have elevated total joint arthroplasty infection rates. J Arthroplasty 2009; 24: 84-8.
7. Jaekel DJ, Ong KL, Lau EC, Kurtz SM. The Epidemiology of total joint arthroplasty infections. In: Trebše R, ed. Total joint arthroplasty infections. The algorithmic approach. London: Springer 2012. In press.
8. Jamsen E, Huhtala H, Puolakka T, Moilanen T. Risk factors for infection after knee arthroplasty. A register-based analysis of 43,149 cases. J Bone Joint Surg Am 2009;91:38-47.
9. Dale H, Skramm I, Lower HL, et al. Infection after primary hip arthroplasty. Acta Orthop 2011;82:646-54.
10. Kurtz SM, Ong KL, Schmier J, et al. Future clinical and economic impact of revision total hip and knee arthroplasty. J Bone Joint Surg Am 2007;89:144-51.
11. Azzam K, McHale K, Austin M, Purtill JJ, Parvizi J. Outcome of a second two-stage reimplantation for periprosthetic knee infection. Clin Orthop Relat Res 2009;467:1706-14.
12. Hanssen AD, Osmon DR. Evaluation of a staging system for infected hip arthroplasty. Clin Orthop Relat Res 2002; 403: 16-22.
13. Zumstein MA, Pinedo M, Old J, Boileau P. Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg 2011; 20: 146-57.
14. Gerometta A, Rodriguez Olaverri JC, Bittan F. Infection and revision strategies in total disc arthroplasty. Int Orthop 2012; 36: 471-4.
15. Beadel G, King G. Revision elbow arthroplasty. In: Williams GR, Yamaguchi K, Ramsey ML, Galatz LM, eds. Shoulder and Elbow Arthroplasty. Philadelphia: Lippincott Williams and Wilkins; 2005: 428.
16. Kim JM, Mudgal CS, Konopka JF, Jupiter JB. Complications of total elbow arthroplasty. J Am Acad Orthop Surg 2011; 19: 328-39.
17. Voloshin I, Schippert DW, Kakar S, Kaye EK, Morrey BF. Complications of total elbow replacement: a systematic review. J Shoulder Elbow Surg 2011; 20: 158-68.
18. Fevang BT, Lie SA, Havelin LI, Skredderstuen A, Furnes O. Results after 562 total elbow replacements: a report from Norwegian arthroplasty register. J Shoulder Elbow Surg 2009; 18: 449-56.
19. Trebše R (ed). Total joint arthroplsty infections. The algorithmic approach. London: Springer 2012. In press
20. Zimmerli W, Trampuž A, Ochsner P. Prosthetic joint infections. N Engl J Med 2004; 351: 1645-54.
21. Milosev I, Trebše R, Kovač S. Materials development and latest results of various bearings. In: Aoi T, Toshida A, eds. Hip replacements, approaches, complications and effectiveness. New York: Nova Science Publishers Inc. 2009.
22. Milošev I, Kovač S, Trebše R, Levašič V, Pišot V. Comparison of 10-year survivorship of a hip prosthesis using conventional polyethylene, metal-on-metal or ceramic-on-ceramic bearings. J Bone Joint Surg Am 2012. In press.
23. Kovač S, Trebše R, Milošev I, Pavlovčič V, Pišot V. Longterm survival of a cemented titanium-aluminium-vanadium alloy straight-stem femoral component. J Bone Joint Surg Br 2006; 88: 1567-73.
24. Hallab N, Merritt K, Jacobs JJ. Metal sensitivity in patients with orthopedic implants. J Bone Joint Surg Am 2001; 83: 428-36.
25. sted. Rosmont: AAOS 2010. Available at: http://www.aaos.org/research/guidelines/guide. asp. Accessed April 30, 2012.
26. Trampuž A, Piper KE, Jacobson MJ et al. Sonication of the removed hip and knee prostheses for diagnosis of infection. N Engl J Med 2007; 357: 654-63.
27. Del Pozzo JL, Patel R. Infections associated with prosthetic joints. N Engl J Med 2009; 361: 787-94.
28. Canadian Hip Resurfacing Study Group. A survey on the prevalence of pseudotumors with metal-on-metal hip resurfacing in Canadian academic centers. J Bone Joint Surg Am 2011; 93: 118-21.
29. Steckelberg JM, Osmon DR. Prosthetic Joint Infection. In: Bisno AL, Waldvogel FA, eds. Infections associated with in dwelling medical devices. 3rd ed. Washington, DC: American Society for Microbiology 2000; 173-209.
30. Fink B, Makowiak C, Fuerst M, Berger I, Schafer P, Frommelt L. The value of synovial biopsy, joint aspiration and C-reactive protein in the diagnosis of late periprosthetic infection of total knee replacements. J Bone Joint Surg Br 2008; 90: 874-8.
31. Greidanus NV, Masri BA, Garbut DS, et al. Use of erythrocyte sedimentation rate and C-reactive protein level to diagnose infection before revision total knee arthroplasty: a prospective evaluation. J Bone Joint Surg Am 2007; 89: 1409-16.
32. Muller M, Moravietz L, Hassart O, Strube P Perka C, Tothz S. Diagnosis of periprosthetic infection following total hip arthroplasty evaluation of the diagnostic values of pre and intraoperative parameters and the associated strategy to preoperatively select patients with high probability of joint infection. J Orthop Surg Res 2008; 3: 31-9.
33. Love C, Marwin SE, Palestro CJ. Nuclear medicine and the infected joint replacement. Semin Nucl Med 2008; 39: 66-78.
34. Tigges S, Stiles RG, Robertson JR. Appearance of septic hip protheses on plain radiographs. AJR Am J Roentgenol 1994; 163: 377-80.
35. Schafroth M, Zimmerli W, Brunazzi M, Ochsner PE. Infections. In: Ochsner PE, ed. Total hip replacement. Berlin: Springer-Verlag 2003;65-90.
36. Hain SF, O'Doherty MJ, Smith MA. Functional imaging and the orthopaedic surgeon. J Bone Joint Surg Br 2002; 84: 315-21.
37. White LM, Kim JK, Mehta M. Complications of total hip arthroplasty: MR imaging-initial experience. Radiology 2000; 215: 254-62.
38. Potter HG, Nestor BJ, Sofka CM. Magnetic resonance imaging after total hip arthroplasty: evaluation of periprosthetic soft tissue. J Bone Joint Surg Am 2004; 86: 1947-54.
39. Mackowiak PA, Jones SR, Smith JW. Diagnostic value of sinus-tract cultures in chronic osteomyelitis. JAMA 1978; 239: 2772-5.
40. Bauer TW, Parvizi J, Kobayashi N, Krebs V. Diagnosis of Periprosthetic Infection. J Bone Joint Surg Am 2006; 88: 869-82.
41. Trampuz A, Widmer AF. Infections associated with orthopedic implants. Curr Opin Infect Dis 2006; 19: 349-56.
42. Terǎič D, Božič B. The basis of the synovial fluid analysis. Clin Chem Lab Med 2001; 39: 1221-6.
43. Trampuz A, Hanssen AD, Osmon DR, Mandrekar J, Steckelberg JM, Patel R. Synovial fluid leukocyte count and differential for the diagnosis of prosthetic knee infection. Am J Med 2004; 117: 556-62.
44. Bernard L, Lubbeke A, Stern R. Value of preoperative investigations in diagnosing prosthetic joint infection: retrospective cohort study and literature review. Scand J Infect Dis 2004; 36: 410-6.
45. Ali F, Wilkinson JM, Kerry RM, Hamer AJ, Norman P, Stockley I. Accuracy of joint aspiration for preoperative diagnosis of infection in total hip arthroplasty. J Arthroplasty 2006; 21: 221-6.
46. Meermans G, Haddad FS. Is there a role for tissue biopsy in the diagnosis of periprosthetic infection? Clin Orthop Relat Res 2010; 468:1410-7.
47. Costerton JW. Biofilm theory can guide the treatment of devicerelated orthopaedic infections. Clin Orthop Relat Res 2005; 437: 7-11.
48. Fenollar F, Roux V, Stein A, Drancourt M, Raoult D. Analysis of 525 samples to determine the usefulness of PCR amplification and sequencing of the 16S rRNA gene for diagnosis of bone and joint infections. J Clin Microbiol 2006; 44: 1018-28.
49. Fishman V, Hannouche D, Bousson V. Improved diagnosis specificity in bone and joint infections using molecular techniques. J Infect 2007; 55: 510-7.
50. Panousis K, Grigoris P, Butcher I, Rana B, Reilly JH, Hamblen DL. Poor predictive value of broad-range PCR for the detection of arthroplasty infection in 92 cases. Acta Orthop 2005; 76: 341-6.
51. Worthington T, Dunlop D, Casey A, Lambert R, Luscombe J, Elliott T. Serum procalcitonin, interleukin-6, soluble intercellular adhesin molecule-1 and IgG to short-chain exocellularlipoteichoic acid as predictors of infection in total joint prosthesis revision. Br J Biomed Sci 2010; 67: 71-6.
52. Di Cesare PE, Chang E, Preston CF, Liu CJ. Serum interleukin-6 as a marker of periprosthetic infection following total hip and knee arthroplasty. J Bone Joint Surg Am 2005; 87: 1921-7.
53. Bottner F, Wegner A, Winkelmann W, Becker K, Erren M, Gotze C. Interleukin-6, procalcitonin and TNF-alpha: markers of peri-prosthetic infection following total joint replacement. J Bone Joint Surg Br 2007; 89: 94-9.
54. Deirmengian C, Hallab N, Tarabishy A, et al. Synovial fluid biomarkers for periprosthetic infection. Clin Orthop Relat Res 2010; 468: 2017-23.
55. Jacovides CL, Parvizi J, Adeli B, Jung KA. Molecular markers for diagnosis of periprosthetic joint infection. J Arthroplasty 2011; 26: 99-103.e1.
56. Lerchner J, Wolf A, Buchholz F et al. Miniaturized calorimetry a new method for real-time biofilm activity analysis. J Microbiol Methods 2008; 74: 74-81.
57. Buchholz F, Harms H, Maskow T. Biofilm research using calorimetry a marriage made in heaven? Biotechnol J 2010; 5: 1339-50.
58. Clauss M, Trampuz A, Borens O, Bohner M, Ilchmann T. Biofilm formation on bone grafts and bone graft substitutes: comparison of different materials by a standard in vitro test and microcalorimetry. Acta Biomater 2010; 6: 3791-7.
59. Furustrand Tafin U, Majic I, ZalilaBelkhodja C. Gentamicin improves the activities of daptomycin and vancomycin against enterococcus faecalis in vitro and in an experimental foreign body infection. Antimicrob Agents Chemother 2011; 55: 4821-7.
60. Corstens FH, van der Meer JW. Nuclear medicine's role in infection and inflammation. Lancet 1999; 354: 765-70.
61. Smith SL, Wastie ML, Forster I. Radionuclide bone scintigraphy in the detection of significant complications after total knee joint replacement. Clin Radiol 2001; 56: 221-4.
62. Reing CM, Richin PF, Kemnore PI. Differential bone scanning in the evaluation in the painful total joint replacement. J Bone Joint Surg Am 2004; 86: 1947-54.
63. Scher DM, Pak K, Lonner JH. The predictive value of indium-111 leucocyte scan in the diagnosis of infected total hip, knee, or resection arthroplasties. J Arthroplasty 2000; 15:295-300.
64. Palestro CJ. Radionuclide imaging after skeletal interventional procedures. Semin Nucl Med 1995; 25: 3-14.
65. van der Bruggen W, Bleeker-Rovers CP, Boerman OC, Gotthardt M, Oyen WJ. PET and SPECT in osteomyelitis and prosthetic bone and joint infections: a systematic review. Semin Nucl Med 2010; 40: 3-15.
66. Chacko TK, Zhuang H, Nakhoda KZ, Moussavian B, Alavi A. Applications of fluorodeoxyglucose positron emission to mography in the diagnosis of infection. Nucl Med Commun 2003; 24: 615-24.
67. Kwee TC, Kwee RM, Alawi A. FDG PET for diagnosing prosthetic joint infection: systematic review and metaanalysis. Eur J Nucl Mol Imaging 2008; 35: 2122-32.
68. Gravius S, Gebhard M, Ackermann D, Bohll U, Hermanns-Sachweh B, Mumme T. Analysis of 18F-FDG uptake pattern in PET for diagnosis of aseptic loosening versus prosthesis infection after total knee arthroplasty. A prospective pilot study. Nuklearmedizin 2010; 49: 115-23.
69. Della Valle C, Parvizi J, Bauer TW, et al. American Academy of Orthopaedic Surgeons clinical practice guideline on: the diagnosis of periprosthetic joint infections of the hip and knee. J Bone Joint Surg Am 2011; 93: 1355-7.
70. Moran E, Byren I, Atkins BL.The diagnosis and management of prosthetic joint infections. J Antimicrob Chemother 2010; 65: 45-54.
71. Health Protection Agency (2009). Investigation of prosthetic joint infection samples. National Standard Method BSOP 44 Issue 1.1. Available at: http://www.hpa-standardmethods.org.uk/pdf_sops.asp.
72. Brook I. Comparison of two transport systems for recovery of aerobic and anaerobic bacteria from abscesses. J Clin Microbiol 1987; 25: 2020-2.
73. Hughes HC, Newnham R, Athanasou N, Atkins BL, Bejon P, Bowler IC. Microbiological diagnosis of prosthetic joint infections: a prospective evaluation of four bacterial culture media in the routine laboratory. Clin Microbiol Infect 2011; 17: 1528-30.
74. Tunney MM, Patrick S, Gorman SP. Improved detection of infection in hip replacements: a currently underestimated problem. J Bone Joint Surg Br 1998; 80: 568-72.
75. Mihalič R, Trebǎe R, Terčič D, Trampuž A. Synovial fluid cell count for rapid and accurate intraoperative diagnosis of prosthetic joint infection. In Proceedings of the 10th EFORT Congress. Vienna, Austria. J Bone Joint Surg Br 2010; 92: 608.
76. Athanasou NA, Pandey R, de Steiger R, et al. The role of intraoperative frozen sections in revision total joint arthroplasty. J Bone Joint Surg Am 1997; 79: 1433-4.
77. Lonner JH, Desai P, Dicesare PE, Steiner G, Zuckerman JD. The reliable of analysis of intraoperative frozen sections for identifying acute infection during revision hip or knee arthroplasty. J Bone Joint Surg Am 1996; 78: 1553-8.
78. Feldman DS, Lonner JS, Desal P, Zuckerman JD. The role of intraoperative frozen sections in revision total joint arthroplasty. J Bone Joint Surg Am 1995; 77: 1807-13.
79. Nunez LV, Buttaro MA, Morandi A, Pusso R, Piccaluga F. Froen sections of samples taken intraoperatively for diagnosis of infection in revision hip surgery. Acta Orthop 2007; 78: 226-30.
80. Spangehl MJ, Masri BA, O'Connel JX, et al. Prospective analysis of preoperative and intraoperative investigational for the diagnosis of infection at the sites of two hundred and two revision total hip arthroplasties. J Bone Joint Surg Am 1999; 81: 672-83.
81. Fitzgerald RH, Jr., Nolan DR, Ilstrup DM, Van Scoy RE, Washington JA, Coventry MB. Deep wound sepsis following total hip arthroplasty. J Bone Joint Surg Am 1977; 59: 847-55.
82. Toms AD, Davidsom D, Masri BA, Duncan CP. The management of periprosthetic infection in total joint arthroplasty. J Bone Joint Surg Br 2006; 88: 149-55.
83. Tsukajama DT, Estrada R, Gustilo RB. Infections after total hip arthroplasty: a study of the treatment of one hundred and six infections. J Bone Joint Surg Am 1996; 78: 512-23.