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Molecular Diagnostics in Periprosthetic Joint Infection

Authors: Parvizi, Javad; Walinchus, Lesley; Adeli, Bahar;

Molecular Diagnostics in Periprosthetic Joint Infection

Abstract

Periprosthetic joint infection (PJI) is a significant and costly challenge to the orthopedic community. The lack of a gold standard for diagnosis remains the biggest obstacle in the detection and subsequent treatment of PJI. Molecular markers in the serum and joint fluid aspirate hold immense promise to enhance the development of a firm diagnostic criterion. The primary goal is one marker with high sensitivity and specificity. Here, we review our current research efforts in the field of molecular markers: C-reactive protein, erythrocyte sedimentation rate, white blood cells, and leukocyte esterase. Each marker has been studied to determine its sensitivity, specificity, and positive and negative predictive values in diagnosing PJI.

Country
United States
Related Organizations
Keywords

leukocyte count, esterase, Joint Prosthesis, Joint arthroplasty, Synovial fluid aspirate, synovial fluid, Synovial Fluid, Rothman Institute, Philadelphia, receiver operating characteristic, C reactive protein, periprosthetic joint infection, predictive value, Periprosthetic join infection, article, 600, Prognosis, C-Reactive Protein, Molecular Diagnostic Techniques, Leukocyte esterase, debridement, infectious arthritis, Prosthesis-Related Infections, review, 610, 9007-41-4, Blood Sedimentation, wound irrigation, Sensitivity and Specificity, C-reactive protein, Predictive Value of Tests, molecular diagnosis, Humans, human, joint aspiration, molecular marker, leukocyte enzyme, 9013-79-0, prosthesis infection, Pennsylvania, United States, enzyme linked immunosorbent assay, joint prosthesis, Thomas Jefferson University Hospital, Orthopedics, sensitivity and specificity, arthroplasty, erythrocyte sedimentation rate, Carboxylic Ester Hydrolases, Biomarkers

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    23
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
23
Top 10%
Top 10%
Top 10%
bronze