Prosthetic Joint Infection

Prosthetic Joint Infection

Diagnosis & Evaluation

  • The presence of a sinus tract that communicates with prosthesis
  • Purulence without other defined etiology
  • Periprosthetic inflammation on histopathologic exam
  • Same organism from ≥ 2 cultures
  • Growth of a virulent organism (S. aureus) in a single specimen
  • ESR and/or CRP
  • Plain radiograph
  • Arthrocentesis if appropriate
  • Blood cultures when bacteremia suspected
  • Histopathological examination if pathologist is available
  • Send 5-7 deep tissue specimens for culture

More Information

IDSA Guidelines for Prosthetic Joint Infection. Clinical Infectious Diseases 2013.