aim of this study was to determine accuracy of using leucocyte esterase (LE),Erythroscyte sedimentation rates (ESR) and C- Reactive protein (CRP) for diagnosing periprosthetic joint infections (PJI)
This study is a Prospective cohort study done on 80 patients and the ICM scoring system was used to assess the status of the patient as regards infection diagnosis as regards the use of Major criteria for infection (Sinus communicating with the joint, 2 positive cultures of the same organism) and minor criteria. Patients included in the study presented with symptoms and signs and were suspected to have PJI. They had either one of the major criteria for PJI (definite diagnosis) or one or two of the minor criteria. All patients underwent aspiration for synovial LE, cytology, cultures and synovial fluid analysis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
DOUBLE
Enrollment
80
serum level of CRP is measured
ESR serum levels are measured
LE box within the urinary dipstick test is measured
Ain Shams University hospitals
Cairo, Abbasya, Egypt
serum ESR level
(mm/hr)(more than or equal 30mm/hr is considered positive/infected{PJI})
Time frame: at day 0
serum CRP level
(mg/L)(more than or equal 10 mg/L is considered positive/infected{PJI})
Time frame: at day 0
Synovial Leukocyte esterase dipstick test
(Plus 1 or more is considered positive/infected{PJI})
Time frame: at day 0
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