Table 1.
Terms | Definitions |
---|---|
Deep SSI | Clinical, biological and radiological signs of SSI associated with at least 2 deep samples (subfascial) of bone, tissue or fluids surrounding the material, positive for the same pathogen(s) |
Biological inflammatory response | CRP > 10mg/L and/or WBC > 10G/L |
Early onset infection | SSI occurring within the 30 days after index surgery |
Delayed infection | SSI occurring between 1 and 3 months after index surgery |
Late onset infection | SSI occurring after 3 months after index surgery |
Persistence | Need for a new surgical revision because of persistent or increasing signs of SSI beyond 7 days after the beginning of DAIR protocol but before the end of antibiotic treatment, with intraoperative samples positive for the same pathogen (negative cultures do not exclude this diagnosis) |
Relapse | Reappearance of signs of infection with samples growing the same pathogen after the end of antibiotic treatment within 1 year after initial surgery |
Treatment failure | Persistence or relapse of SSI |
New infection | New SSI with a pathogen different from the one responsible for the initial infection within 1 year of follow-up |
Patient cured | Absence of relapse after 1 year (no surgical revision, no clinical sign of infection, CRP <10 mg/L and no radiological sign of infection), off antibiotic therapy |
SSI: Surgical site infection; CRP: C-reactive protein; WBC: White Blood Cells; DAIR: debridement-irrigation, antibiotic therapy and implant retention.