Table 2. Classification of periprosthetic infections (modified according to [19]).
Time since surgery | |||
0 to 2 months | 3 to 24 months | Any time | |
Type of infection | Early infection | Delayed (low-grade) infection | Late infection |
Route of infection | Perioperative | Perioperative | Hematogenous (focus usually on lungs, skin, urinary tract, dental) or continuous spreading from elsewhere |
Clinical symptoms | Local reddening, overheating, fever, pain, wound dehiscence, secretion | Persistent or new-onset pain, loosening, fistula formation | Acute or subacute |
Most common pathogens |
Staphylococcus aureus, streptococci, enterococci | Coagulase-negative staphylococci, Propionibacterium acnes | Staphylococcus aureus, Escherichia coli, streptococci |