Articles | Volume 6, issue 6
https://doi.org/10.5194/jbji-6-165-2021
https://doi.org/10.5194/jbji-6-165-2021
Original full-length article
 | 
10 May 2021
Original full-length article |  | 10 May 2021

Hip aspiration culture: analysing data from a single operator series investigating periprosthetic joint infection

Connor J. Barker, Alan Marriot, Munir Khan, Tamsin Oswald, Samuel J. Tingle, Paul F. Partington, Ian Carluke, and Mike R. Reed

Related subject area

Subject: Prosthesis-related infections | Topic: Diagnosis
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Cited articles

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Bonanzinga, T., Zahar, A., Dütsch, M., Lausmann, C., Kendoff, D., and Gehrke, T.: How Reliable Is the Alpha-defensin Immunoassay Test for Diagnosing Periprosthetic Joint Infection? A Prospective Study, Clin. Orthop. Relat. R., 475, 408–415, https://doi.org/10.1007/s11999-016-4906-0, 2017. 
Cross, M. C., Kransdorf, M. J., Chivers, F. S., Lorans, R., Roberts, C. C., Schwartz, A. J., and Beauchamp, C. P.: Utility of percutaneous joint aspiration and synovial biopsy in identifying culture-positive infected hip arthroplasty, Skeletal Radiol., 43, 165–168, https://doi.org/10.1007/s00256-013-1757-6, 2014. 
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Short summary
Periprosthetic joint infection (PJI) is associated with increased morbidity and mortality but can be difficult to diagnose. Our aim is to analyse common diagnostic tests, specifically joint aspiration culture performed for suspected PJI by a single practitioner. We suggest that hip aspiration culture performs similarly to less invasive tests to rule out infection, recommend caution in interpreting a positive culture and suggest that hip aspiration should be used only with other synovial tests.