Title

Diagnosis and Management of Prosthetic Joint Infection

Authoring Organization

Infectious Diseases Society of America

Publication Month/Year

October 6, 2012

Last Updated Month/Year

October 9, 2024

Supplemental Implementation Tools

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

to provide a consensus statement that addresses the diagnosis and the medical and surgical treatment of infections involving a prosthetic joint.

Target Patient Population

Patients with prosthetic joint infection (PJI)

Target Provider Population

Infectious disease specialists, orthopedists, and other healthcare professionals who care for patients with prosthetic joint infection (PJI)

PICO Questions

  1. What preoperative evaluation and intraoperative testing should be performed to diagnose PJI and what is the definition of PJI?

  2. What different surgical strategies should be considered for treatment of a patient with PJI?

  3. What is the medical treatment for a patient with PJI following debridement and retention of the prosthesis?

  4. What is the medical treatment for a patient with PJI following resection arthroplasty with or without planned staged reimplantation?

  5. What is the medical treatment for a patient with PJI following 1-stage exchange?

  6. What is the medical treatment for a patient with PJI following amputation?

Inclusion Criteria

Male, Female, Adolescent, Adult, Older adult

Health Care Settings

Ambulatory, Hospital, Outpatient, Operating and recovery room

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Diagnosis, Assessment and screening, Treatment, Management

Diseases/Conditions (MeSH)

D019736 - Prostheses and Implants, D016459 - Prosthesis-Related Infections

Keywords

prosthetic joint infection, PJI, prostheses

Source Citation

Douglas R. Osmon, Elie F. Berbari, Anthony R. Berendt, Daniel Lew, Werner Zimmerli, James M. Steckelberg, Nalini Rao, Arlen Hanssen, Walter R. Wilson, Diagnosis and Management of Prosthetic Joint Infection: Clinical Practice Guidelines by the Infectious Diseases Society of America, Clinical Infectious Diseases, Volume 56, Issue 1, 1 January 2013, Pages e1–e25, https://doi.org/10.1093/cid/cis803