Consensus document for the diagnosis of prosthetic joint infections: a joint paper by the EANM, EBJIS, and ESR (with ESCMID endorsement)

Eur J Nucl Med Mol Imaging. 2019 Apr;46(4):971-988. doi: 10.1007/s00259-019-4263-9. Epub 2019 Jan 26.

Abstract

Background: For the diagnosis of prosthetic joint infection, real evidence-based guidelines to aid clinicians in choosing the most accurate diagnostic strategy are lacking.

Aim and methods: To address this need, we performed a multidisciplinary systematic review of relevant nuclear medicine, radiological, orthopaedic, infectious, and microbiological literature to define the diagnostic accuracy of each diagnostic technique and to address and provide evidence-based answers on uniform statements for each topic that was found to be important to develop a commonly agreed upon diagnostic flowchart.

Results and conclusion: The approach used to prepare this set of multidisciplinary guidelines was to define statements of interest and follow the procedure indicated by the Oxford Centre for Evidence-based Medicine (OCEBM).

Keywords: Guideline; Imaging; Infection diagnosis; Prosthetic joint infection.

MeSH terms

  • Consensus*
  • Documentation*
  • Europe
  • Evidence-Based Medicine
  • Humans
  • Nuclear Medicine*
  • Prosthesis-Related Infections / diagnosis*
  • Prosthesis-Related Infections / diagnostic imaging
  • Societies, Scientific*