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

Table 2. Classification according to Tsukayama et al (2003) 11 .

Infection type/features I. Positive intraoperative culture II. Early postoperative infection III. Acute hematogenic infection IV. Late chronic infection
Symptoms start after baseline surgery ____ Up to 4 weeks After an asymptomatic period After 4 weeks
Mechanism ____ Exogenous Hematogenic Exogenous or hematogenic
Most common etiological agent Coagulase-negative Staphylococci (epidermidis) Staphylococci (Coagulase-positive and negative), Gram-negative Bacilli Coagulase-positive Staphylococci +, Streptococci Staphylococci (Coagulase-positive and negative), Gram-negative Bacilli
Clinical presentation Painful arthroplasty Fever, inflammatory signs, persistent drainage, no sinus tract Fever, inflammatory signs, no sinus tract Fever, sinus tract, drainage, pus accumulation, local edema