Table 1.
Infection grading.
Classification of Infection | |||
Level of severity | Symptoms and signs | Treatment | Grade |
Low-grade soft tissue infection | Cellulitis with signs of inflammation (redness, swelling, warmth, stinging pain, pain that increases on loading, tense) | Oral antibiotics Parenteral antibiotics Surgical intervention |
1 1A 1B 1C |
High-grade soft tissue infection | Pus collection, purulent discharge, raised level of C-reactive protein | Oral antibiotics Parenteral antibiotics Surgical intervention |
2 2A 2B 2C |
Bone infection | Radiographic evidence of osteitis (periosteal bone reaction), radiographic evidence of osteomyelitis (sequestrum and involucrum) | Oral antibiotics Parenteral antibiotics Surgical intervention |
3 3A 3B 3C |
Implant failure | Radiographic evidence of loosening | Parenteral antibiotics, explantation | 4 |
Reprinted with permission from Wolters Kluwer Health, Inc. Journal of Bone & Joint Surgery. Safety of osseointegrated implants for transfemoral amputees: a two-center prospective cohort study. Munjed Al Muderis, Aditya Khemka, Sara J. Lord, et al. 2016;98(11).