2-stage revision recommended for treatment of fungal hip and knee prosthetic joint infections.

ABSTRACT:

Background and purpose

Fungal prosthetic joint infections are rare and difficult to treat. This systematic review was conducted to determine outcome and to give treatment recommendations.

Patients and methods

After an extensive search of the literature, 164 patients treated for fungal hip or knee prosthetic joint infection (PJI) were reviewed. This included 8 patients from our own institutions.

Results

Most patients presented with pain (78%) and swelling (65%). In 68% of the patients, 1 or more risk factors for fungal PJI were found. In 51% of the patients, radiographs showed signs of loosening of the arthroplasty. Candida species were cultured from most patients (88%). In 21% of all patients, fungal culture results were first considered to be contamination. There was

SUBMITTER: Kuiper JW 

PROVIDER: S-EPMC3851663 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature