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Synchronous Periprosthetic Joint Infections: A Scoping Review of the Literature

Prosthetic joint infections (PJIs) occurring in multiple joints at the same time (synchronous PJI) are an extremely rare complication, frequently associated with bacteremia, and are associated with high mortality rates. The presence of three or more prosthetic joints, rheumatoid arthritis, neoplasia...

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Autores principales: Sambri, Andrea, Caldari, Emilia, Fiore, Michele, Giannini, Claudio, Filippini, Matteo, Morante, Lorenzo, Rondinella, Claudia, Zamparini, Eleonora, Tedeschi, Sara, Viale, Pierluigi, De Paolis, Massimiliano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9406556/
https://www.ncbi.nlm.nih.gov/pubmed/36010192
http://dx.doi.org/10.3390/diagnostics12081841
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author Sambri, Andrea
Caldari, Emilia
Fiore, Michele
Giannini, Claudio
Filippini, Matteo
Morante, Lorenzo
Rondinella, Claudia
Zamparini, Eleonora
Tedeschi, Sara
Viale, Pierluigi
De Paolis, Massimiliano
author_facet Sambri, Andrea
Caldari, Emilia
Fiore, Michele
Giannini, Claudio
Filippini, Matteo
Morante, Lorenzo
Rondinella, Claudia
Zamparini, Eleonora
Tedeschi, Sara
Viale, Pierluigi
De Paolis, Massimiliano
author_sort Sambri, Andrea
collection PubMed
description Prosthetic joint infections (PJIs) occurring in multiple joints at the same time (synchronous PJI) are an extremely rare complication, frequently associated with bacteremia, and are associated with high mortality rates. The presence of three or more prosthetic joints, rheumatoid arthritis, neoplasia, bacteremia and immune-modulating therapy seem to be the recurring risk factors for synchronous PJI. In case of PJIs, all other replaced joints should be considered as potentially infected and investigated if PJI is suspected. Treatments of synchronous multiple PJIs vary and must be decided on a case-by-case basis. However, the advantages of one-stage exchange seem to outweigh the two-stage protocol, as it decreases the number of necessary surgical procedures. Nonetheless, too few studies have been conducted to allow firm conclusions about the best handling of synchronous PJI. Thus, additional studies are needed to understand this devastating complication and to design the most appropriate diagnostic and therapeutic path.
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spelling pubmed-94065562022-08-26 Synchronous Periprosthetic Joint Infections: A Scoping Review of the Literature Sambri, Andrea Caldari, Emilia Fiore, Michele Giannini, Claudio Filippini, Matteo Morante, Lorenzo Rondinella, Claudia Zamparini, Eleonora Tedeschi, Sara Viale, Pierluigi De Paolis, Massimiliano Diagnostics (Basel) Opinion Prosthetic joint infections (PJIs) occurring in multiple joints at the same time (synchronous PJI) are an extremely rare complication, frequently associated with bacteremia, and are associated with high mortality rates. The presence of three or more prosthetic joints, rheumatoid arthritis, neoplasia, bacteremia and immune-modulating therapy seem to be the recurring risk factors for synchronous PJI. In case of PJIs, all other replaced joints should be considered as potentially infected and investigated if PJI is suspected. Treatments of synchronous multiple PJIs vary and must be decided on a case-by-case basis. However, the advantages of one-stage exchange seem to outweigh the two-stage protocol, as it decreases the number of necessary surgical procedures. Nonetheless, too few studies have been conducted to allow firm conclusions about the best handling of synchronous PJI. Thus, additional studies are needed to understand this devastating complication and to design the most appropriate diagnostic and therapeutic path. MDPI 2022-07-30 /pmc/articles/PMC9406556/ /pubmed/36010192 http://dx.doi.org/10.3390/diagnostics12081841 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Opinion
Sambri, Andrea
Caldari, Emilia
Fiore, Michele
Giannini, Claudio
Filippini, Matteo
Morante, Lorenzo
Rondinella, Claudia
Zamparini, Eleonora
Tedeschi, Sara
Viale, Pierluigi
De Paolis, Massimiliano
Synchronous Periprosthetic Joint Infections: A Scoping Review of the Literature
title Synchronous Periprosthetic Joint Infections: A Scoping Review of the Literature
title_full Synchronous Periprosthetic Joint Infections: A Scoping Review of the Literature
title_fullStr Synchronous Periprosthetic Joint Infections: A Scoping Review of the Literature
title_full_unstemmed Synchronous Periprosthetic Joint Infections: A Scoping Review of the Literature
title_short Synchronous Periprosthetic Joint Infections: A Scoping Review of the Literature
title_sort synchronous periprosthetic joint infections: a scoping review of the literature
topic Opinion
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9406556/
https://www.ncbi.nlm.nih.gov/pubmed/36010192
http://dx.doi.org/10.3390/diagnostics12081841
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