Impact of Sonication Fluid Cultures on Prosthetic Joint Infection Diagnosis and Management: A Microbiology-Driven Evaluation Using Infectious Diseases Society of America and European Bone and Joint Infection Society Criteria.

ABSTRACT:

Background

Most studies investigating the role of sonication fluid culture on periprosthetic joint infections (PJIs) focused on diagnostic accuracy, without assessing its potential impact on patient management. This study aims to evaluate how the use of sonication fluid culture may alter the diagnosis and management of PJI.

Methods

Included were 429 patients (mean age [SD], 68 [11] year; 65% male) who underwent explantation of a knee or hip prosthesis due to suspected PJI or aseptic causes. Because the Infectious Diseases Society of America (IDSA) PJI criteria do not include sonication in the diagnostic definition, we compared sonication fluid culture results with intraoperative tissue cultures patient-per-patient. In contrast, the European Bone and Joint Society (EBJIS) cri

SUBMITTER: Zouitni A 

PROVIDER: S-EPMC12728276 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature