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. 2019 Aug 20;54(4):368–376. doi: 10.1055/s-0039-1693138

Table 1. Periprosthetic Joint Infection (PJI) Diagnostic Criteria.

Diagnostic Criteria Berbari et al (1998) 4 Musculoskeletal Infection Society (MSIS) 5 Infectious Diseases Society of America (IDSA) 6 International Consensus on Periprosthetic Joint Infection (I ICM) 7
Major criteria Minor criteria Major criteria Minor criteria Major criteria Minor criteria Major criteria Minor criteria
Joint sinus tract X X X X
≥ 2 positive cultures from SF and/or PPT (identical MO) X X X X
Periprosthetic pus accumulation X X X
Increased ESR and CRP in blood X X
Leukocytosis in SF X X
Neutrophilia in SF X X
Histology: PPT inflammation X X X X
Single positive culture (SF or PPT) X X X

Abbreviations: CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; MO, microorganism; PPT, periprosthetic tissue; SF, synovial fluid.