Update on Periprosthetic Joint Infection (BHS Revalidation): Clinical Presentation & Diagnosis

Description

In this presentation, Jason Webb introduces himself as the lead of the Regional Prosthetic Joint Infections Service in Bristol, discussing the complexities of diagnosing and treating periprosthetic joint infections (PJI). He highlights that the bacteria, often protected within biofilms, pose significant challenges for both antibiotics and the immune system to access. Webb underscores the importance of a multidisciplinary team (MDT) in managing cases effectively, pointing out that patients treated within this structure tend to have better outcomes. He elaborates on the diagnostic process, emphasizing a structure of key questions: determining infection presence, identifying the causative organisms, and selecting appropriate antibiotics. Webb also outlines the typical workflow in their hip infection clinic, starting with X-rays, blood tests for inflammatory markers (like CRP), and the necessity for joint aspiration to gather samples for microbiological analysis. He expresses the importance of awareness about clinician denial and the urgency to act upon suspected infections. Throughout the presentation, Webb expresses a mix of clinical observations and practical advice to aid healthcare providers in improving the diagnosis and management of PJI, advocating for protocols that adapt to local health contexts.

DOI: 10.1302/3114-221708

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