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ICM 2018 Criteria for PJI
Manage episode 306366317 series 3003013
Dr. Adam Rosen에서 제공하는 콘텐츠입니다. 에피소드, 그래픽, 팟캐스트 설명을 포함한 모든 팟캐스트 콘텐츠는 Dr. Adam Rosen 또는 해당 팟캐스트 플랫폼 파트너가 직접 업로드하고 제공합니다. 누군가가 귀하의 허락 없이 귀하의 저작물을 사용하고 있다고 생각되는 경우 여기에 설명된 절차를 따르실 수 있습니다 https://ko.player.fm/legal.
The International Consensus Meeting on MSK Infection presented their new criteria in 2018
Major Criteria
1. Two positive periprosthetic cultures w/ phenotypically identical organisms
2. A sinus tract communicating with the joint
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Minor Criteria
> or equal to 6 = infected
4-5 = inconclusive
< or equal to 3 = not infected
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2 points for:
Serum CRP 100 in acute or 10 in chronic
or
D-dimer 860 in chronic
1 point for:
ESR 30 in chronic
3 points for:
synovial WBC 10,000 in acute or 3,000 in chronic
or
leuk esterase ++ in acute and ++ in chronic
or
positive alpha defensin
2 points for:
synovial PMN 90 in acute or 70 in chronic
2 points for:
single positive culture
3 points for:
positive histology
3 points for:
intraoperative purulence
ICM Philly website: https://icmphilly.com/
PJI Risk Calculator: https://icmphilly.com/ortho-applications/prosthetic-joint-infection-pji-risk-calculator/
102 에피소드
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