Periprosthetic joint infection: general principles for primary care physicians

Quentin Muller (1), Randy Buzisa Mbuku (1), Hervé Poilvache (1), Maïté Van Cauter (1), Jean-Cyr Yombi (2), Olivier Cornu (1) Published in the journal : October 2021 Category : Orthopedics

Summary :

Prosthetic joint infection (PJI) is a dramatic complication, with devastating and costly consequences for both the patient and healthcare system. Despite the progress made in the past decades, its incidence remains stable at around 0.5 to 2%. With the ageing population, the number of prostheses steadily increases, with consequently an increased number of infections. PJI management is complex and requires a multidisciplinary approach, including surgical treatment and antibiotic administration. A delayed diagnosis likely displays serious consequences for the patient. This article summarizes the general management principles of prosthetic joint infections, mainly designed for primary care physicians.

What is already known about the topic?

Prosthetic joint infection (PJI) constitutes a diagnostic and therapeutic emergency as success rate and patient prognosis are strongly related to early management. Joint aspiration is the most useful diagnostic tool. The management of PJI is complex and requires a multidisciplinary approach combining surgical treatment and antibiotic administration.

What does this article bring up for us?

This article, which targets primary care physicians, summarizes the general principles of PJI management, specifically highlighting the vital relevance of early diagnosis.

Key Words

Periprosthetic joint infection; orthopedic infection; hip arthroplasty; knee arthroplasty