Table 1.
Major criteria (1 required) | Minor criteria (3 of 5 required) |
---|---|
Sinus tract communicating with the affected joint | Elevated ESR and CRP |
Elevated synovial fluid white blood cell count | |
Two positive periprosthetic cultures with phenotypically identical organisms | Elevated synovial polymorphonuclear neutrophil percentage (PMN%) or ++ change on leukocyte esterase test strip |
Positive histological analysis of periprosthetic tissue | |
A single positive culture |
One major criterion and/or 3 of 5 minor criteria must be present for the diagnosis of PJI according to the MSIS Diagnostic Criteria
ESR, erythrocyte sedimentation rate; CRP, C-reactive protein