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.