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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(04): 368-376
DOI: 10.1055/s-0039-1693138
Artigo de Atualização | Update Article
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Diagnóstico precoce da infecção articular periprotética do quadril – situação atual, avanços e perspectivas[*]

Article in several languages: português | English
Luiz Sérgio Marcelino Gomes 
1   Faculdade de Medicina de Uberaba, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil
2   Centro de Estudos do Serviço de Cirurgia e Reabilitação Ortopédico-Traumatológica de Batatais, Batatais, SP, Brasil
› Author Affiliations
Further Information

Publication History

29 March 2018

10 July 2018

Publication Date:
20 August 2019 (online)

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Resumo

A infecção articular periprotética (IAP) tem consequências devastadoras sobre a função articular e sobre a taxa de morbimortalidade dos pacientes vitimados por esta grave complicação. Ainda que o diagnóstico precoce seja um dos consensos com importância bem estabelecida, as rotinas de investigação são ainda conduzidas de forma empírica, inconsistente e pouco objetiva em muitos centros de todo o mundo. O presente artigo busca contextualizar a situação atual dos conhecimentos sobre o diagnóstico precoce das infecções articulares periprotéticas, assim como discutir os avanços e perspectivas, dentro de um cenário de sua aplicabilidade rotineira pela equipe médica responsável pelo manejo desta temida complicação.

Palavras-Chave

prótese de quadril - biomarcadores - microbiologia - sinais e sintomas

* Trabalho realizado na Pró-Reitoria de Pós-Graduação da Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil.


 

  • Referências

  • 1 Lidgren L. Joint prosthetic infections: a success story. Acta Orthop Scand 2001; 72 (06) 553-556
    CrossrefPubMedGoogle Scholar
  • 2 Ulrich SD, Seyler TM, Bennett D, Delanois RE, Saleh KJ, Thongtrangan I. , et al. Total hip arthroplasties: what are the reasons for revision?. Int Orthop 2008; 32 (05) 597-604
    CrossrefPubMedGoogle Scholar
  • 3 Esposito S, Leone S. Prosthetic joint infections: microbiology, diagnosis, management and prevention. Int J Antimicrob Agents 2008; 32 (04) 287-293
    CrossrefPubMedGoogle Scholar
  • 4 Berbari EF, Hanssen AD, Duffy MC, Steckelberg JM, Ilstrup DM, Harmsen WS. , et al. Risk factors for prosthetic joint infection: case-control study. Clin Infect Dis 1998; 27 (05) 1247-1254
    CrossrefPubMedGoogle Scholar
  • 5 Parvizi J, Zmistowski B, Berbari EF, Bauer TW, Springer BD, Della Valle CJ. , et al. New definition for periprosthetic joint infection: from the Workgroup of the Musculoskeletal Infection Society. Clin Orthop Relat Res 2011; 469 (11) 2992-2994
    CrossrefPubMedGoogle Scholar
  • 6 Osmon DR, Berbari EF, Berendt AR, Lew D, Zimmerli W, Steckelberg JM. , et al. Infectious Diseases Society of America. Executive summary: diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis 2013; 56 (01) 1-10
    PubMedGoogle Scholar
  • 7 Parvizi J, Gehrke T, Chen AF. Proceedings of the international consensus on periprosthetic joint infection. Bone Joint J 2013; 95-B (11) 1450-1452
    CrossrefPubMedGoogle Scholar
  • 8 Fernández-Sampedro M, Fariñas-Alvarez C, Garces-Zarzalejo C, Alonso-Aguirre MA, Salas-Venero C, Martínez-Martínez L. , et al. Accuracy of different diagnostic tests for early, delayed and late prosthetic joint infection. BMC Infect Dis 2017; 17 (01) 592
    CrossrefPubMedGoogle Scholar
  • 9 Coventry MB. Treatment of infections occurring in total hip surgery. Orthop Clin North Am 1975; 6 (04) 991-1003
    CrossrefPubMedGoogle Scholar
  • 10 Tsukayama DT, Estrada R, Gustilo RB. Infection after total hip arthroplasty. A study of the treatment of one hundred and six infections. J Bone Joint Surg Am 1996; 78 (04) 512-523
    CrossrefPubMedGoogle Scholar
  • 11 Tsukayama DT, Goldberg VM, Kyle R. Diagnosis and management of infection after total knee arthroplasty. J Bone Joint Surg Am 2003; 85-A (Suppl. 01) S75-S80
    Google Scholar
  • 12 Zimmerli W, Trampuz A, Ochsner PE. Prosthetic-joint infections. N Engl J Med 2004; 351 (16) 1645-1654
    CrossrefPubMedGoogle Scholar
  • 13 Gomes LSM, Zullo SS, Pereira GA. Response to question Q118 (Hip and Knee): What clinical findings (e.g. fever, erythema, reduced ROM) are most sensitive and specific for the diagnosis of PJI?. In: Parvizi, J and Gherke Thorsten. Proceedings of the Second International Consensus Meeting on Musculoskeletal Infections. Brooklandville, Maryland: Data Trace; 2018. p. 343–344
    Google Scholar
  • 14 Ghosh S, Charity RM, Haidar SG, Singh BK. Pyrexia following total knee replacement. Knee 2006; 13 (04) 324-327
    CrossrefPubMedGoogle Scholar
  • 15 Jacobs AME, Bénard M, Meis JF, van Hellemondt G, Goosen JHM. The unsuspected prosthetic joint infection : incidence and consequences of positive intra-operative cultures in presumed aseptic knee and hip revisions. Bone Joint J 2017; 99-B (11) 1482-1489
    CrossrefPubMedGoogle Scholar
  • 16 Tan T, Maltenfort M, Chen A. Development and evaluation of a preoperative risk calculator for periprosthetic joint infection. In: Paper 171 presented at the 2016 Annual Meeting of the AAOS, Orlando, Florida, 2016
    Google Scholar
  • 17 Shahi A, Kheir MM, Tarabichi M, Hosseinzadeh HRS, Tan TL, Parvizi J. Serum D-Dimer Test Is Promising for the Diagnosis of Periprosthetic Joint Infection and Timing of Reimplantation. J Bone Joint Surg Am 2017; 99 (17) 1419-1427
    CrossrefPubMedGoogle Scholar
  • 18 Pérez-Prieto D, Portillo ME, Puig-Verdié L, Alier A, Martínez S, Sorlí L. , et al. C-reactive protein may misdiagnose prosthetic joint infections, particularly chronic and low-grade infections. Int Orthop 2017; 41 (07) 1315-1319
    CrossrefPubMedGoogle Scholar
  • 19 Parvizi J, Fassihi SC, Enayatollahi MA. Diagnosis of periprosthetic joint infection following hip and knee arthroplasty. Orthop Clin North Am 2016; 47 (03) 505-515
    CrossrefPubMedGoogle Scholar
  • 20 Aryana K, Hootkani A, Sadeghi R, Davoudi Y, Naderinasab M, Erfani M. , et al. (99m) Tc-labeled ubiquicidin scintigraphy: a promising method in hip prosthesis infection diagnosis. Nucl Med (Stuttg) 2012; 51 (04) 133-139
    Google Scholar
  • 21 Verberne SJ, Raijmakers PG, Temmerman OP. The Accuracy of Imaging Techniques in the Assessment of Periprosthetic Hip Infection: A Systematic Review and Meta-Analysis. J Bone Joint Surg Am 2016; 98 (19) 1638-1645
    CrossrefPubMedGoogle Scholar
  • 22 Yee DKH, Chiu KY, Yan CH, Ng FY. Review article: Joint aspiration for diagnosis of periprosthetic infection. J Orthop Surg (Hong Kong) 2013; 21 (02) 236-240
    CrossrefPubMedGoogle Scholar
  • 23 Shahi A, Tan TL, Kheir MM, Tan DD, Parvizi J. Diagnosing Periprosthetic Joint Infection: And the Winner Is?. J Arthroplasty 2017; 32 (9S): S232-S235
    CrossrefPubMedGoogle Scholar
  • 24 Tarabichi M, Fleischman AN, Shahi A, Tian S, Parvizi J. Interpretation of Leukocyte Esterase for the Detection of Periprosthetic Joint Infection Based on Serologic Markers. J Arthroplasty 2017; 32 (9S): S97 , 100.e1
    CrossrefPubMedGoogle Scholar
  • 25 Kwiecien G, George J, Klika AK, Zhang Y, Bauer TW, Rueda CA. Intraoperative Frozen Section Histology: Matched for Musculoskeletal Infection Society Criteria. J Arthroplasty 2017; 32 (01) 223-227
    CrossrefPubMedGoogle Scholar
  • 26 Peel TN, Dowsey MM, Aboltins CA, Daffy JR, Stanley PA, Buising KL. , et al. Culture negative prosthetic joint infection.- a description of current treatment and outcomes. Clin Microbiol 2013; 2 (02) 106 . Doi: 10.4172/2327-5073.1000106
    Google Scholar
  • 27 Hall-Stoodley L, Stoodley P, Kathju S, Høiby N, Moser C, Costerton JW. , et al. Towards diagnostic guidelines for biofilm-associated infections. FEMS Immunol Med Microbiol 2012; 65 (02) 127-145
    CrossrefPubMedGoogle Scholar
  • 28 Peel TN, Dylla BL, Hughes JG, Lynch DT, Greenwood-Quaintance KE, Cheng AC. , et al. Improved Diagnosis of Prosthetic Joint Infection by Culturing Periprosthetic Tissue Specimens in Blood Culture Bottles. MBio 2016; 7 (01) e01776-e15
    PubMedGoogle Scholar
  • 29 Tarabichi M, Shohat N, Goswami K, Alvand A, Silibovsky R, Belden K. , et al. Diagnosis of periprosthetic joint infection: the potential of next-generation sequencing. J Bone Joint Surg Am 2018; 100 (02) 147-154
    CrossrefPubMedGoogle Scholar
  • 30 Della Valle C, Parvizi J, Bauer TW, Dicesare PE, Evans RP, Segreti J. , et al; American Academy of Orthopaedic Surgeons. Diagnosis of periprosthetic joint infections of the hip and knee. J Am Acad Orthop Surg 2010; 18 (12) 760-770
    CrossrefPubMedGoogle Scholar