The EBJIS definition of periprosthetic joint infection
MARTIN A. MCNALLY
1
,
Ricardo Sousa
2
,
Marjan Wouthuyzen-Bakker
3
,
Antonia F. Chen
4
,
Alex Soriano
5
,
H. Charles Vogely
6
,
Martin Clauss
7
,
Carlos A. Higuera
8
,
Rihard Trebše
9
2
Porto Bone Infection Group (GRIP), Orthopaedic Department, Centro Hospitalar Universitário do Porto, Porto, Portugal
|
9
Orthopaedic Hospital Valdoltra, Ankaran, Slovenia
|
Publication type: Journal Article
Publication date: 2021-01-01
scimago Q1
wos Q1
SJR: 2.131
CiteScore: 8.8
Impact factor: 4.6
ISSN: 20494394, 20494408
PubMed ID:
33380199
Surgery
Orthopedics and Sports Medicine
Abstract
Aims
The diagnosis of periprosthetic joint infection (PJI) can be difficult. All current diagnostic tests have problems with accuracy and interpretation of results. Many new tests have been proposed, but there is no consensus on the place of many of these in the diagnostic pathway. Previous attempts to develop a definition of PJI have not been universally accepted and there remains no reference standard definition.
Methods
This paper reports the outcome of a project developed by the European Bone and Joint Infection Society (EBJIS), and supported by the Musculoskeletal Infection Society (MSIS) and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Implant-Associated Infections (ESGIAI). It comprised a comprehensive review of the literature, open discussion with Society members and conference delegates, and an expert panel assessment of the results to produce the final guidance.
Results
This process evolved a three-level approach to the diagnostic continuum, resulting in a definition set and guidance, which has been fully endorsed by EBJIS, MSIS, and ESGIAI.
Conclusion
The definition presents a novel three-level approach to diagnosis, based on the most robust evidence, which will be useful to clinicians in daily practice. Cite this article: Bone Joint J 2021;103-B(1):18–25.
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GOST
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MCNALLY M. A. et al. The EBJIS definition of periprosthetic joint infection // Bone and Joint Journal. 2021. Vol. 103-B. No. 1. pp. 18-25.
GOST all authors (up to 50)
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MCNALLY M. A., Sousa R., Wouthuyzen-Bakker M., Chen A. F., Soriano A., Vogely H. C., Clauss M., Higuera C. A., Trebše R. The EBJIS definition of periprosthetic joint infection // Bone and Joint Journal. 2021. Vol. 103-B. No. 1. pp. 18-25.
Cite this
RIS
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TY - JOUR
DO - 10.1302/0301-620X.103B1.BJJ-2020-1381.R1
UR - https://doi.org/10.1302/0301-620X.103B1.BJJ-2020-1381.R1
TI - The EBJIS definition of periprosthetic joint infection
T2 - Bone and Joint Journal
AU - MCNALLY, MARTIN A.
AU - Sousa, Ricardo
AU - Wouthuyzen-Bakker, Marjan
AU - Chen, Antonia F.
AU - Soriano, Alex
AU - Vogely, H. Charles
AU - Clauss, Martin
AU - Higuera, Carlos A.
AU - Trebše, Rihard
PY - 2021
DA - 2021/01/01
PB - British Editorial Society of Bone and Joint Surgery
SP - 18-25
IS - 1
VL - 103-B
PMID - 33380199
SN - 2049-4394
SN - 2049-4408
ER -
Cite this
BibTex (up to 50 authors)
Copy
@article{2021_MCNALLY,
author = {MARTIN A. MCNALLY and Ricardo Sousa and Marjan Wouthuyzen-Bakker and Antonia F. Chen and Alex Soriano and H. Charles Vogely and Martin Clauss and Carlos A. Higuera and Rihard Trebše},
title = {The EBJIS definition of periprosthetic joint infection},
journal = {Bone and Joint Journal},
year = {2021},
volume = {103-B},
publisher = {British Editorial Society of Bone and Joint Surgery},
month = {jan},
url = {https://doi.org/10.1302/0301-620X.103B1.BJJ-2020-1381.R1},
number = {1},
pages = {18--25},
doi = {10.1302/0301-620X.103B1.BJJ-2020-1381.R1}
}
Cite this
MLA
Copy
MCNALLY, MARTIN A., et al. “The EBJIS definition of periprosthetic joint infection.” Bone and Joint Journal, vol. 103-B, no. 1, Jan. 2021, pp. 18-25. https://doi.org/10.1302/0301-620X.103B1.BJJ-2020-1381.R1.