Proceedings from the 2018 International Consensus Meeting on Orthopedic Infections: evaluation of periprosthetic shoulder infection

J Shoulder Elbow Surg. 2019 Jun;28(6S):S32-S66. doi: 10.1016/j.jse.2019.04.016.

Abstract

The Second International Consensus Meeting on Orthopedic Infections was held in Philadelphia, Pennsylvania, in July 2018. More than 800 experts from all 9 subspecialties of orthopedic surgery and allied fields of infectious disease, microbiology, and epidemiology were assembled to form the International Consensus Group. The shoulder workgroup reached consensus on 27 questions related to culture techniques, inflammatory markers, and diagnostic criteria used to evaluate patients for periprosthetic shoulder infection. This document contains the group's recommendations and rationale for each question related to evaluating periprosthetic shoulder infection.

Keywords: CRP; Cutibacterium acnes; Diagnosis; ESR; culture; evaluation; periprosthetic shoulder infection; purulence.

Publication types

  • Consensus Development Conference

MeSH terms

  • Arthroplasty, Replacement, Shoulder / adverse effects*
  • Biomarkers / metabolism
  • Biopsy
  • C-Reactive Protein / metabolism
  • Consensus
  • Cytokines / metabolism*
  • Erythrocyte Indices
  • Humans
  • Leukocyte Count
  • Microbiological Techniques*
  • Prosthesis-Related Infections / complications
  • Prosthesis-Related Infections / diagnosis*
  • Prosthesis-Related Infections / metabolism
  • Prosthesis-Related Infections / microbiology*
  • Shoulder Joint / pathology
  • Shoulder Joint / surgery
  • Shoulder Prosthesis / adverse effects*
  • Synovial Fluid / cytology
  • Synovial Fluid / metabolism
  • Tissue Culture Techniques

Substances

  • Biomarkers
  • Cytokines
  • C-Reactive Protein